Provider Demographics
NPI:1740683390
Name:ASCENT HEALING INC
Entity type:Organization
Organization Name:ASCENT HEALING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:MATTINGLY
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:630-707-1799
Mailing Address - Street 1:4225 SARATOGA AVE
Mailing Address - Street 2:UNIT 415B
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60515-1972
Mailing Address - Country:US
Mailing Address - Phone:630-707-1799
Mailing Address - Fax:
Practice Address - Street 1:125 WINDSOR DR
Practice Address - Street 2:SUITE 113
Practice Address - City:OAK BROOK
Practice Address - State:IL
Practice Address - Zip Code:60523-1536
Practice Address - Country:US
Practice Address - Phone:630-707-1799
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-26
Last Update Date:2016-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.009307101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty