Provider Demographics
NPI:1710972732
Name:ASCHENBRENNER, LYVIER L (MS LMHC ACADC)
Entity Type:Individual
Prefix:
First Name:LYVIER
Middle Name:L
Last Name:ASCHENBRENNER
Suffix:
Gender:F
Credentials:MS LMHC ACADC
Other - Prefix:
Other - First Name:LYVIER
Other - Middle Name:L
Other - Last Name:BUSCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:312 E ALTA VISTA AVE
Mailing Address - Street 2:
Mailing Address - City:OTTUMWA
Mailing Address - State:IA
Mailing Address - Zip Code:52501-1413
Mailing Address - Country:US
Mailing Address - Phone:641-684-3138
Mailing Address - Fax:641-684-3198
Practice Address - Street 1:312 E ALTA VISTA AVE
Practice Address - Street 2:
Practice Address - City:OTTUMWA
Practice Address - State:IA
Practice Address - Zip Code:52501-1413
Practice Address - Country:US
Practice Address - Phone:641-684-3138
Practice Address - Fax:641-684-3198
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA040089101YA0400X
IA00699101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAI014OtherTRIWEST
IA221150OtherIOWA HEALTH SOLUTIONS
IAI014OtherTRIWEST