=====================================================
General NPI Number Information
=====================================================
NPI Number | 1619727831
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ASCEND THERAPEUTIC SERVICES PA
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/22/2024
-----------------------------------------------------
Last Update Date | 03/22/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 100 ELK PARK DRIVE UNIT 304
-----------------------------------------------------
City | ASHEVILLE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28804
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 828-319-7351
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6 GRUMLEY DRV
-----------------------------------------------------
City | LEICESTER
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28748
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 828-319-7351
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | INCORPORATOR
-----------------------------------------------------
Name | NATASHA HARVEY
-----------------------------------------------------
Credential | LCSW, LCAS, CCS
-----------------------------------------------------
Telephone | 828-319-7351
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------