Healthcare Provider Details

I. General information

NPI: 1902788698
Provider Name (Legal Business Name): ASCEND BEHAVIORAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2025
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7105 W 3500 S
WEST VALLEY CITY UT
84128-2335
US

IV. Provider business mailing address

7105 W 3500 S
WEST VALLEY CITY UT
84128-2335
US

V. Phone/Fax

Practice location:
  • Phone: 801-250-0054
  • Fax: 801-250-0054
Mailing address:
  • Phone: 602-695-5019
  • Fax: 801-250-1390

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: MARTIN FLORES
Title or Position: OWNER
Credential:
Phone: 602-695-5019