Provider Demographics
NPI:1881380574
Name:ASCEND INDIVIDUAL AND FAMILY THERAPY SERVICES INC.
Entity type:Organization
Organization Name:ASCEND INDIVIDUAL AND FAMILY THERAPY SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARIO
Authorized Official - Middle Name:
Authorized Official - Last Name:APOLINAR
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:707-971-0291
Mailing Address - Street 1:9452 TELEPHONE RD # 282
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93004-2600
Mailing Address - Country:US
Mailing Address - Phone:707-971-0291
Mailing Address - Fax:
Practice Address - Street 1:701 E. SANTA CLARA STREET
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93001
Practice Address - Country:US
Practice Address - Phone:707-790-7591
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-14
Last Update Date:2024-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty