Healthcare Provider Details

I. General information

NPI: 1316850407
Provider Name (Legal Business Name): ASCEND RECOVERY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4000 AURORA AVE N STE 208
SEATTLE WA
98103-7853
US

IV. Provider business mailing address

4000 AURORA AVE N STE 208
SEATTLE WA
98103-7853
US

V. Phone/Fax

Practice location:
  • Phone: 360-743-7355
  • Fax: 360-743-7355
Mailing address:
  • Phone: 360-743-7355
  • Fax: 360-743-7355

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateNULL

VIII. Authorized Official

Name: CASSANOVA AKPUNKU
Title or Position: OWNER
Credential:
Phone: 360-743-7355