| Organization Name: | ASBURY COUNSELING AND EVALUATION SERVICES, LLC |
| NPI Number: | 1326305269 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RHONDA RENEE GOTTO (OWNER) |
| Mailing Address: | 5900 Saratoga Rd Suite 4a Asbury |
| State: | IA US |
| Postal Code: | 520022124 |
| Phone Number: | 5635883500 |
| Fax Number: | 5635883500 |
| NPI Enumeration Date: | 04/17/2012 |
| NPI Last Update Date: | 04/17/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 06001 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |