Provider Demographics
NPI:1669125159
Name:ASPIRE ASSESSMENT SERVICES, LLC.
Entity type:Organization
Organization Name:ASPIRE ASSESSMENT SERVICES, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST/PRINCIPAL ORGANIZER
Authorized Official - Prefix:MR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:DWAYNE
Authorized Official - Last Name:CAMERON
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:515-557-0415
Mailing Address - Street 1:3520 BEAVER AVE STE D
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50310-3255
Mailing Address - Country:US
Mailing Address - Phone:515-333-8003
Mailing Address - Fax:515-412-1582
Practice Address - Street 1:3520 BEAVER AVE STE D
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50310-3255
Practice Address - Country:US
Practice Address - Phone:515-333-8003
Practice Address - Fax:515-412-1582
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-03
Last Update Date:2022-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No251S00000XAgenciesCommunity/Behavioral Health
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service