Provider Demographics
NPI:1598388324
Name:ASCENDING LOTUS COUNSELING, LLC
Entity Type:Organization
Organization Name:ASCENDING LOTUS COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARISA
Authorized Official - Middle Name:
Authorized Official - Last Name:MERRITTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-338-2244
Mailing Address - Street 1:191 ROUTE 35
Mailing Address - Street 2:
Mailing Address - City:RED BANK
Mailing Address - State:NJ
Mailing Address - Zip Code:07701-5907
Mailing Address - Country:US
Mailing Address - Phone:908-489-1536
Mailing Address - Fax:609-939-0700
Practice Address - Street 1:191 ROUTE 35
Practice Address - Street 2:
Practice Address - City:RED BANK
Practice Address - State:NJ
Practice Address - Zip Code:07701-5907
Practice Address - Country:US
Practice Address - Phone:908-489-1536
Practice Address - Fax:609-939-0700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-27
Last Update Date:2020-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty