Organization · NPI-2

Ascent Christian Counseling, LLC

Counselor, Mental Health · Crestview, FL

NPI number1073255279

StatusActive

Last updated in NPPESSep 2, 2024

Details

NPI: 1073255279
Entity type: Organization (NPI-2)
Legal business name: Ascent Christian Counseling, LLC
Organization subpart: No
Enumeration date: Apr 8, 2022
Certification date: Sep 2, 2024
Last updated: Sep 2, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
101YM0800X	Counselor, Mental Health	–	–	Yes
1041C0700X	Social Worker, Clinical	–	–
208100000X	Physical Medicine & Rehabilitation	–	–
261QM0801X	Clinic/Center, Mental Health (Including Community Mental Health Center)	–	–
261QM1300X	Clinic/Center, Multi-Specialty	–	–

Practice location

824 N Ferdon Blvd
Crestview, FL 32536-2157

Phone 850-603-0941

Mailing address

4680 Lovegrass Ln
Crestview, FL 32539-8357

Phone 850-603-0941

Authorized official

Heather Allen
Owner/Licensed Mental Health Coun.
8506030941

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