Healthcare Provider Details

I. General information

NPI: 1598691727
Provider Name (Legal Business Name): ASCEND COUNSELING & THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4654 BROOKWOOD DR
BROOKLYN OH
44144-3216
US

IV. Provider business mailing address

4654 BROOKWOOD DR
BROOKLYN OH
44144-3216
US

V. Phone/Fax

Practice location:
  • Phone: 312-545-7415
  • Fax:
Mailing address:
  • Phone: 312-545-7415
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name: DR. DERRICK HOWELL
Title or Position: OWNER
Credential: EDD, MBA
Phone: 312-545-7415