Healthcare Provider Details

I. General information

NPI: 1639202716
Provider Name (Legal Business Name): ASCENT ACQUISITIONS CORP-PSC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3214 WINCHESTER DR
BENTON AR
72015
US

IV. Provider business mailing address

1201 GEE ST
JONESBORO AR
72401
US

V. Phone/Fax

Practice location:
  • Phone: 501-326-6160
  • Fax: 501-326-6161
Mailing address:
  • Phone: 870-935-0260
  • Fax: 870-935-0450

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: HOLLY ALLGOOD
Title or Position: BILLING SPECIALIST
Credential:
Phone: 870-935-0260