# ASE LTC LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** A Brighter Start - Health and Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275387029
- **Authorized official:** LEVI SMALL (CEO)
- **Authorized official phone:** (412) 818-4115

## Contact information

- **Practice address:** 5710 OLEANDER DR STE 100, WILMINGTON, NC 28403-4723
- **Practice address phone:** (412) 818-4115
- **Mailing address:** 5710 OLEANDER DR STE 100, WILMINGTON, NC 28403-4723
- **Mailing address phone:** (412) 818-4115

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | — | Yes |
| 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