Healthcare Provider Details

I. General information

NPI: 1659284149
Provider Name (Legal Business Name): ASCEND COUNSELING AND THERAPY SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9805 AUTRY FALLS DR
JOHNS CREEK GA
30022-8095
US

IV. Provider business mailing address

9805 AUTRY FALLS DR
JOHNS CREEK GA
30022-8095
US

V. Phone/Fax

Practice location:
  • Phone: 404-973-2723
  • Fax:
Mailing address:
  • Phone: 404-973-2723
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: CHARLES VINCENT SMITH
Title or Position: OWNER & PSYCHOTHERAPIST
Credential: LPC
Phone: 404-973-2723