Healthcare Provider Details
I. General information
NPI: 1740123843
Provider Name (Legal Business Name): ASCEND MENTORING AND COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/13/2026
Last Update Date: 04/13/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4321 W COLLEGE AVE STE 200
APPLETON WI
54914-3968
US
IV. Provider business mailing address
2800 E ENTERPRISE AVE STE 333
APPLETON WI
54913-7889
US
V. Phone/Fax
- Phone: 920-944-7135
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
STEVEN
WILLE
Title or Position: OWNER
Credential: LPC
Phone: 920-944-7135