Healthcare Provider Details

I. General information

NPI: 1831024785
Provider Name (Legal Business Name): ASCEND BEHAVIORAL WELLNESS & ASSESSMENT SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 COUNTRY LN
TRENTON NJ
08690-3326
US

IV. Provider business mailing address

7 COUNTRY LN
TRENTON NJ
08690-3326
US

V. Phone/Fax

Practice location:
  • Phone: 732-322-2608
  • Fax:
Mailing address:
  • Phone: 732-322-2608
  • 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: KADIATU TARAWALIE
Title or Position: FOUNDER & CLINICAL DIRECTOR
Credential: MA,LPC,NCC
Phone: 732-322-2608