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General NPI Number Information
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NPI Number | 1891662151
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Entity Type | Organization
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Legal Business Name | ASCEND BEYOND, PEDIATRIC AND FAMILY THERAPY, INC.
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Dates
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Enumeration Date | 10/21/2025
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 11801 PIERCE ST STE 200
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City | RIVERSIDE
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State | CA
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Zip | 92505-4400
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Country | US
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Telephone | 909-529-6139
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Fax |
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Provider Business Mailing Address
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Address Line | 11801 PIERCE ST STE 200
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City | RIVERSIDE
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State | CA
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Zip | 92505-4400
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Country | US
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Telephone | 909-529-6139
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SHEENA HENDERSON
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Credential |
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Telephone | 310-844-4220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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