Provider Demographics
NPI:1487001426
Name:ASCEND CONSULTATION IN HEALTH CARE
Entity Type:Organization
Organization Name:ASCEND CONSULTATION IN HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF CLINICAL SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:HALVORSON
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:312-283-2650
Mailing Address - Street 1:700 S GREGORY ST
Mailing Address - Street 2:A
Mailing Address - City:URBANA
Mailing Address - State:IL
Mailing Address - Zip Code:61801-3745
Mailing Address - Country:US
Mailing Address - Phone:312-283-2650
Mailing Address - Fax:
Practice Address - Street 1:700 S GREGORY ST
Practice Address - Street 2:A
Practice Address - City:URBANA
Practice Address - State:IL
Practice Address - Zip Code:61801-3745
Practice Address - Country:US
Practice Address - Phone:312-283-2650
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-19
Last Update Date:2016-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071004492103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty