Healthcare Provider Details

I. General information

NPI: 1891625661
Provider Name (Legal Business Name): ASCEND BEHAVIORAL HEALTH AND WELLNESS,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35005 N 27TH LN
PHOENIX AZ
85086-6663
US

IV. Provider business mailing address

27818 N 24TH LN
PHOENIX AZ
85085-4706
US

V. Phone/Fax

Practice location:
  • Phone: 602-471-5053
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code323P00000X
TaxonomyPsychiatric Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: KEVIN SMITH
Title or Position: CEO
Credential:
Phone: 602-919-6507