Provider Demographics
NPI:1356078554
Name:ASCENT COGNITIVE EDUCATION CENTER
Entity type:Organization
Organization Name:ASCENT COGNITIVE EDUCATION CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KARYL
Authorized Official - Middle Name:LYN
Authorized Official - Last Name:HADEN
Authorized Official - Suffix:
Authorized Official - Credentials:MED, BCCS
Authorized Official - Phone:303-990-7924
Mailing Address - Street 1:289 BRISTLECONE ST
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:CO
Mailing Address - Zip Code:80601-5376
Mailing Address - Country:US
Mailing Address - Phone:303-990-7924
Mailing Address - Fax:
Practice Address - Street 1:289 BRISTLECONE ST
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:CO
Practice Address - Zip Code:80601-5376
Practice Address - Country:US
Practice Address - Phone:303-990-7924
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-07
Last Update Date:2022-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty