Provider Demographics
NPI:1174300313
Name:ASCEND MINISTRIES MENTAL HEALTH SERVICES
Entity type:Organization
Organization Name:ASCEND MINISTRIES MENTAL HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR VP OF BUSINESS DEVELOPMENT
Authorized Official - Prefix:
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:RYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-933-4181
Mailing Address - Street 1:PO BOX 98
Mailing Address - Street 2:
Mailing Address - City:REHRERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:19550-0098
Mailing Address - Country:US
Mailing Address - Phone:717-933-4181
Mailing Address - Fax:
Practice Address - Street 1:4600 E HARRISBURG PIKE
Practice Address - Street 2:
Practice Address - City:ELIZABETHTOWN
Practice Address - State:PA
Practice Address - Zip Code:17022-9004
Practice Address - Country:US
Practice Address - Phone:888-243-4316
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TEEN CHALLENGE TRAINING CENTER, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-09-12
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty