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General NPI Number Information
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NPI Number | 1174990329
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Entity Type | Organization
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Legal Business Name | ASCENT PSYCHOTHERAPY CENTER
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Dates
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Enumeration Date | 08/24/2015
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Last Update Date | 08/24/2015
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Provider Practice Location Address
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Address Line | 3880 GREENHOUSE RD SUITE 412
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City | HOUSTON
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State | TX
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Zip | 77084-6792
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Country | US
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Telephone | 832-418-2479
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Fax |
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Provider Business Mailing Address
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Address Line | 1795 N FRY RD SUITE 205
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City | KATY
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State | TX
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Zip | 77449-3347
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | LPC
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Name | MRS. VALERIE KUYKENDALL-ROGERS
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Credential |
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Telephone | 832-418-2479
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 16445
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 16445
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 16445
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License Number State | TX
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