Provider Demographics
NPI:1609016732
Name:ASCENSION COUNSELING SERVICES
Entity Type:Organization
Organization Name:ASCENSION COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PALLAVI
Authorized Official - Middle Name:S
Authorized Official - Last Name:GUPTA
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:520-661-4302
Mailing Address - Street 1:7901 N PATRICK HENRY PL
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85741-1524
Mailing Address - Country:US
Mailing Address - Phone:520-661-4302
Mailing Address - Fax:
Practice Address - Street 1:12450 N RANCHO VISTOSO BLVD STE 100
Practice Address - Street 2:
Practice Address - City:ORO VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85755-9567
Practice Address - Country:US
Practice Address - Phone:520-661-4302
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-02
Last Update Date:2009-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC11968101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty