Provider Demographics
NPI:1598398919
Name:ASCENT HEALTH AND WELLNESS LLC
Entity Type:Organization
Organization Name:ASCENT HEALTH AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:AIMEE
Authorized Official - Middle Name:
Authorized Official - Last Name:ZISNER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:720-619-1419
Mailing Address - Street 1:2238 LOWELL BLVD
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-5051
Mailing Address - Country:US
Mailing Address - Phone:720-619-1419
Mailing Address - Fax:
Practice Address - Street 1:2855 N SPEER BLVD STE C
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80211-4240
Practice Address - Country:US
Practice Address - Phone:720-619-1419
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-13
Last Update Date:2020-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health