Provider Demographics
NPI:1588325757
Name:ASCENT COUNSELING LLC
Entity type:Organization
Organization Name:ASCENT COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MBR
Authorized Official - Prefix:
Authorized Official - First Name:FLAVIA
Authorized Official - Middle Name:
Authorized Official - Last Name:DESOUZA
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LPC
Authorized Official - Phone:203-832-2077
Mailing Address - Street 1:42 LAKE AVENUE EXT STE 134
Mailing Address - Street 2:
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06811-5282
Mailing Address - Country:US
Mailing Address - Phone:203-832-2077
Mailing Address - Fax:
Practice Address - Street 1:42 LAKE AVENUE EXT STE 134
Practice Address - Street 2:
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06811-5282
Practice Address - Country:US
Practice Address - Phone:203-832-2077
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-10
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health