Healthcare Provider Details

I. General information

NPI: 1336458538
Provider Name (Legal Business Name): ASPIRE HIGHER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2010
Last Update Date: 05/11/2022
Certification Date: 05/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 JENKINS RANCH RD UNIT E1
DURANGO CO
81301-9473
US

IV. Provider business mailing address

137 LA PLATA VIEW DR
DURANGO CO
81303-8155
US

V. Phone/Fax

Practice location:
  • Phone: 970-764-4049
  • Fax:
Mailing address:
  • Phone: 970-749-4491
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number992647
License Number StateCO

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: LILLIAN RAMEY
Title or Position: VICE-PRESIDENT / DIRECTOR
Credential: LCSW
Phone: 970-749-4491