Provider Demographics
NPI:1205247673
Name:ASCENSION LLC
Entity type:Organization
Organization Name:ASCENSION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER SERVICES DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:L
Authorized Official - Last Name:HIATT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-410-6340
Mailing Address - Street 1:9601 S MACARTHUR BLVD
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73169-6914
Mailing Address - Country:US
Mailing Address - Phone:405-410-2089
Mailing Address - Fax:
Practice Address - Street 1:9601 S MACARTHUR BLVD
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73169-6914
Practice Address - Country:US
Practice Address - Phone:405-410-2089
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-19
Last Update Date:2014-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty