Organization Name: | ASCENT PERFORMANCE CONSULTANTA |
NPI Number: | 1033453279 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ARTISETTA MARGARET GARVIN (PRESIDENT/PSYCHOTHERAPIST) |
Mailing Address: | 2330 Scenic Hwy S Suite 301 Snellville |
State: | GA US |
Postal Code: | 300783115 |
Phone Number: | 6782522181 |
Fax Number: | 6782522183 |
NPI Enumeration Date: | 11/10/2012 |
NPI Last Update Date: | 11/10/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 005557 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |