Provider Demographics
NPI:1487017323
Name:HIGHER GROUND LIFE SERVICES, INC.
Entity Type:Organization
Organization Name:HIGHER GROUND LIFE SERVICES, INC.
Other - Org Name:HIGHER GROUND COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ALLEN
Authorized Official - Middle Name:KEITH
Authorized Official - Last Name:ASCHERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT, LPCC
Authorized Official - Phone:530-515-9413
Mailing Address - Street 1:2400 WASHINGTON AVE STE 401
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96001-2827
Mailing Address - Country:US
Mailing Address - Phone:530-941-9003
Mailing Address - Fax:
Practice Address - Street 1:2400 WASHINGTON AVE STE 401
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-2827
Practice Address - Country:US
Practice Address - Phone:530-941-9003
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-29
Last Update Date:2016-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1457890OtherBEACON PARTNERTSHIP
CA1457890OtherMEDI-CAL