Provider Demographics
NPI:1245510304
Name:ASCENT TREATMENT & COUNSELING SERVICES, LLC
Entity type:Organization
Organization Name:ASCENT TREATMENT & COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:LINDSAY
Authorized Official - Last Name:HOUSTON
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:907-357-6860
Mailing Address - Street 1:5431 E MAYFLOWER LN
Mailing Address - Street 2:SUITE 5
Mailing Address - City:WASILLA
Mailing Address - State:AK
Mailing Address - Zip Code:99654-7891
Mailing Address - Country:US
Mailing Address - Phone:907-357-6860
Mailing Address - Fax:907-357-6865
Practice Address - Street 1:5431 E MAYFLOWER LN
Practice Address - Street 2:SUITE 5
Practice Address - City:WASILLA
Practice Address - State:AK
Practice Address - Zip Code:99654-7891
Practice Address - Country:US
Practice Address - Phone:907-357-6860
Practice Address - Fax:907-357-6865
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-22
Last Update Date:2011-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X
AK908554251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty