=====================================================
General NPI Number Information
=====================================================
NPI Number | 1508749383
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ASCEND ABOVE THERAPY, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/29/2025
-----------------------------------------------------
Last Update Date | 07/29/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 45 W 3RD ST APT 304
-----------------------------------------------------
City | SOUTH BOSTON
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 02127-1187
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 860-705-2821
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 444 E 3RD ST UNIT 222
-----------------------------------------------------
City | SOUTH BOSTON
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 02127-5722
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 860-705-2821
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. HEATHER JEAN MUIR
-----------------------------------------------------
Credential | PHD
-----------------------------------------------------
Telephone | 860-705-2821
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103TC0700X
-----------------------------------------------------
Taxonomy Name | Clinical Psychologist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------