Provider Demographics
NPI:1437856747
Name:ASCENSION PATHWAY THERAPY SERVICES
Entity Type:Organization
Organization Name:ASCENSION PATHWAY THERAPY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:ROCHELLE
Authorized Official - Middle Name:E
Authorized Official - Last Name:BLAND
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:804-714-5705
Mailing Address - Street 1:3713 DALHART CT
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:23831-1329
Mailing Address - Country:US
Mailing Address - Phone:804-714-5705
Mailing Address - Fax:
Practice Address - Street 1:3713 DALHART CT
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:VA
Practice Address - Zip Code:23831-1329
Practice Address - Country:US
Practice Address - Phone:804-714-5705
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-08
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty