Provider Demographics
NPI:1063814317
Name:ASCENT EVALUATIONS ASSESSMENTS AND COUNSELING, LLC
Entity Type:Organization
Organization Name:ASCENT EVALUATIONS ASSESSMENTS AND COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:D
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-667-7777
Mailing Address - Street 1:560 W CANFIELD AVE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:COEUR D ALENE
Mailing Address - State:ID
Mailing Address - Zip Code:83815-7950
Mailing Address - Country:US
Mailing Address - Phone:208-667-7777
Mailing Address - Fax:208-667-7772
Practice Address - Street 1:560 W CANFIELD AVE
Practice Address - Street 2:SUITE 400
Practice Address - City:COEUR D ALENE
Practice Address - State:ID
Practice Address - Zip Code:83815-7950
Practice Address - Country:US
Practice Address - Phone:208-667-7777
Practice Address - Fax:208-667-7772
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-18
Last Update Date:2014-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health