Provider Demographics
NPI:1831230960
Name:ASCENSION COUNSELING GROUP, INC
Entity type:Organization
Organization Name:ASCENSION COUNSELING GROUP, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:FOSTER
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:678-499-1563
Mailing Address - Street 1:1332 WOODLAND VIEW RD
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30043-7512
Mailing Address - Country:US
Mailing Address - Phone:770-942-6790
Mailing Address - Fax:866-261-2420
Practice Address - Street 1:1332 WOODLAND VIEW RD
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30043-7512
Practice Address - Country:US
Practice Address - Phone:770-942-6790
Practice Address - Fax:866-261-2420
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMSW0035811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty