NPI 1861525826 · live from the CMS NPI Registry
Ascent Acquisitions Corp-Psc
Counselor in West Memphis, AR. National Provider Identifier 1861525826, active.
NPI record
| NPI | 1861525826 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Counselor 101Y00000X |
| Practice location | 413 W Tyler Ave, West Memphis, AR 72301 |
| Practice phone | 870-733-1200 |
| Mailing address | 3012 Turman Dr, Jonesboro, AR 72404 |
| Enumerated | March 13, 2007 |
| Last updated | November 7, 2012 |
| Authorized official | Holly Allgood, Billing Specialist |
| Other names | Pediatric Specialty Care |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Cognitive & Behavioral | 103TB0200X | — |
| Psychologist, Clinical Child & Adolescent | 103TC2200X | — |
| Speech-Language Pathologist, | 235Z00000X | — |
| Counselor primary | 101Y00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.