Provider Demographics
NPI:1598362626
Name:ASCENSION COUNSELING LLC
Entity Type:Organization
Organization Name:ASCENSION COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:
Authorized Official - Last Name:HEATH-WIRTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-640-0435
Mailing Address - Street 1:15 SW COLORADO AVE STE 127
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97702-1229
Mailing Address - Country:US
Mailing Address - Phone:541-640-0435
Mailing Address - Fax:
Practice Address - Street 1:15 SW COLORADO AVE STE 127
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97702-1229
Practice Address - Country:US
Practice Address - Phone:541-640-0435
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-01
Last Update Date:2020-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty