Provider Demographics
NPI:1629819578
Name:ASCENDANCY MENTAL AND BEHAVIORAL HEALTH SERVICES, LLC.
Entity type:Organization
Organization Name:ASCENDANCY MENTAL AND BEHAVIORAL HEALTH SERVICES, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:GRACE
Authorized Official - Last Name:WALGREN
Authorized Official - Suffix:
Authorized Official - Credentials:LIMHP
Authorized Official - Phone:619-323-6752
Mailing Address - Street 1:115 W RAILWAY ST
Mailing Address - Street 2:
Mailing Address - City:SCOTTSBLUFF
Mailing Address - State:NE
Mailing Address - Zip Code:69361-3177
Mailing Address - Country:US
Mailing Address - Phone:308-635-2800
Mailing Address - Fax:308-633-2740
Practice Address - Street 1:115 W RAILWAY ST
Practice Address - Street 2:
Practice Address - City:SCOTTSBLUFF
Practice Address - State:NE
Practice Address - Zip Code:69361-3177
Practice Address - Country:US
Practice Address - Phone:308-635-2800
Practice Address - Fax:308-633-2740
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-04
Last Update Date:2024-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty