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NPI 1962394965

NPI 1962394965 : ASCENDING INTERGRATED CARE LLC : INDEPENDENCE, LA

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General NPI Number Information
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    NPI Number           |    1962394965
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    Entity Type          |    Organization 
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    Legal Business Name  |    ASCENDING INTERGRATED CARE LLC 
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Dates
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    Enumeration Date     |    07/16/2025
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    Last Update Date     |    07/16/2025
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Provider Practice Location Address
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    Address Line         |    575 W RAILROAD AVE APT A
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    City                 |    INDEPENDENCE
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    State                |    LA
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    Zip                  |    70443
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    Country              |    US
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    Telephone            |    225-409-2409
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    30100 WALKER NORTH RD 
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    City                 |    WALKER
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    State                |    LA
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    Zip                  |    70785-7357
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    Country              |    US
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    Telephone            |    225-505-8818
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER/ FOUNDER
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    Name                 |     QUINTON  THOMAS 
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    Credential           |    LPC
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    Telephone            |    225-409-2409
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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    Taxonomy Code        |    261QM0801X
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    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
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    License Number       |    
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    License Number State |    
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