MEDICARE: HIGHER GROUND LIFE SERVICES, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1609265859
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HIGHER GROUND LIFE SERVICES, INC

Provider Business Mailing Address
First Line	:	2400 WASHINGTON AVE STE 401
Second Line	:
City	:	REDDING
State	:	CA
Zip	:	96001-2827
Country	:	US
Telephone Number	:	530-941-9003
Fax Number	:

Provider Business Practice Location Address
First Line	:	2400 WASHINGTON AVE STE 401
Second Line	:
City	:	REDDING
State	:	CA
Zip	:	96001-2827
Country	:	US
Telephone Number	:	530-941-9003
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MR. ALLEN K ASCHERMAN
Credential	:	LMFT, LPCC
Telephone Number	:	530-941-9003

Provider Enumeration Date	:	01/12/2015
Last Update Date	:	05/18/2016

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