ASCENT ACQUISITIONS CORP-CYPDC NPI 1205980497

NPI Information

NPI: 1205980497
Provider Name: ASCENT ACQUISITIONS CORP-CYPDC

Doing Business As: CHILD & YOUTH DEVELOPMENT

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
800 S CHURCH ST
STE. 201
JONESBORO, AR
ZIP 72401
Phone: (870) 935-9911
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ASCENT ACQUISITIONS CORP-CYPDC is a mental health counselor in Jonesboro, AR. ASCENT ACQUISITIONS CORP-CYPDC NPI is 1205980497. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Child & Youth Development.

The provider's business location address is:

800 S CHURCH ST
STE. 201
JONESBORO, AR
ZIP 72401-176
Phone: (870) 935-9911
Fax: (870) 935-3450

The provider's authorized official is Holly A Allgood .
The authorized official title is Ins Billing Rep and has the following contact phone number (870) 819-0232.

The enumeration date for this NPI number is 1/23/2007 and was last updated on 2/29/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health		ARKANSAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	57885	OTHER	ARKANSAS	ARKANSAS BCBS
2	160746742	MEDICAID	ARKANSAS
3	160785526	MEDICAID	ARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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