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Organization
ASCEND WELLNESS, LLC
Active
Organization
ASCEND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE GAIL HALL (CREDENTIALING AGENT)
(502) 774-0671
Entity
Organization
Contact information
Practice address
148 COMMERCIAL DR, LONDON, KY 40744-8204
(606) 260-8532
(606) 260-8534
Mailing address
148 COMMERCIAL DR, LONDON, KY 40744-8204
(606) 309-2531
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/07/2024
Last updated
11/19/2024
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