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Organization
ASE LTC LLC
Active
Organization
ASE LTC LLC
Active
Other names
A Brighter Start - Health and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
LEVI SMALL (CEO)
(412) 818-4115
Entity
Organization
Contact information
Practice address
5710 OLEANDER DR STE 100, WILMINGTON, NC 28403-4723
(412) 818-4115
Mailing address
5710 OLEANDER DR STE 100, WILMINGTON, NC 28403-4723
(412) 818-4115
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
NULL
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
NULL
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
—
NULL
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
—
—
363AM0700X
Medical Physician Assistant
—
NULL
363AM0700X
Medical Physician Assistant
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
04/16/2024
Last updated
04/16/2024
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