Ascension Collective Services
Organization Active NPI Speech-Language Pathologist · Ladson, SC
NPI 1013475680 · NPPES record last updated Nov 1, 2022
Key facts
- NPI
- 1013475680
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Legal business name
- ASCENSION COLLECTIVE SERVICES
- Practice address
- 125 Towering Pine Dr
Ladson, SC 29456-3701 - Phone
- (228) 239-0522
- NPI assigned
- Mar 3, 2019
- Organization subpart
- No
Authorized official
- Name
- Amber Banks
- Title
- Speech Language Pathologist
- Phone
- (228) 239-0522
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist |
235Z00000X | Yes |
Addresses
Primary practice location
125 Towering Pine Dr
Ladson, SC 29456-3701
Mailing address
125 Towering Pine Dr
Ladson, SC 29456-3701
Phone (228) 239-0522
NPI Registry JSON
{
"created_epoch": "1551571200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1667260800000",
"number": "1013475680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 TOWERING PINE DR",
"city": "LADSON",
"state": "SC",
"postal_code": "294563701",
"telephone_number": "228-239-0522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 TOWERING PINE DR",
"city": "LADSON",
"state": "SC",
"postal_code": "294563701",
"telephone_number": "228-239-0522"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASCENSION COLLECTIVE SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-03",
"last_updated": "2022-11-01",
"certification_date": "2022-11-01",
"status": "A",
"authorized_official_last_name": "BANKS",
"authorized_official_first_name": "AMBER",
"authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
"authorized_official_telephone_number": "228-239-0522"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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All providers in Ladson, SC · Speech-Language Pathologist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 1, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.