Healthcare Provider Details

I. General information

NPI: 1245073139
Provider Name (Legal Business Name): ASCENSION BEHAVIORAL COUNSELING AND WELLNESS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2024
Last Update Date: 04/26/2026
Certification Date: 04/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3610 TARMAC RD
WILSON NC
27896-7656
US

IV. Provider business mailing address

3610 TARMAC RD
WILSON NC
27896-7656
US

V. Phone/Fax

Practice location:
  • Phone: 252-327-9137
  • Fax:
Mailing address:
  • Phone: 252-327-9137
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: LESLIE RENEE JONES
Title or Position: CEO/CLINICAL DIRECTOR
Credential: LCSW, LCAS
Phone: 252-327-9137