Healthcare Provider Details

I. General information

NPI: 1376485128
Provider Name (Legal Business Name): ASCENT COACHING AND COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2026
Last Update Date: 04/08/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3521 E LOREN ST
SPRINGFIELD MO
65809-1450
US

IV. Provider business mailing address

3521 E LOREN ST
SPRINGFIELD MO
65809-1450
US

V. Phone/Fax

Practice location:
  • Phone: 417-501-5034
  • Fax:
Mailing address:
  • Phone: 417-501-5034
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: CHEREE WHALEY
Title or Position: COO/COUNSELOR
Credential: LCSW
Phone: 417-849-7157