Organization
ASCENSION COUNSELING & TRANSFORMATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA GOODWIN (OWNER)
(719) 589-6438
Entity
Organization
Contact information
Practice address
811 MAIN ST, ALAMOSA, CO 81101-2541
(719) 589-6438
(719) 589-2668
Mailing address
811 MAIN ST, ALAMOSA, CO 81101-2541
(719) 589-6438
(719) 589-2668
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
10/14/2021
Last updated
08/10/2022
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