Provider Demographics
NPI:1811569007
Name:ASCENSION MENTAL HEALTH COUNSELING PLLC
Entity Type:Organization
Organization Name:ASCENSION MENTAL HEALTH COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:IPEK
Authorized Official - Middle Name:
Authorized Official - Last Name:ISIKLI
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT, LCDC
Authorized Official - Phone:469-885-1981
Mailing Address - Street 1:4601 EARLY MORN DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-3908
Mailing Address - Country:US
Mailing Address - Phone:469-885-1981
Mailing Address - Fax:
Practice Address - Street 1:4425 PLANO PKWY STE 602
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75010-5030
Practice Address - Country:US
Practice Address - Phone:469-885-1981
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-15
Last Update Date:2021-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX202972OtherTEXAS STATE BOARD OF EXAMINERS OF MARRIAGE AND FAMILY THERAPISTS