# ASCEND WELLNESS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619725579
- **Authorized official:** STEPHANIE GAIL HALL (CREDENTIALING AGENT)
- **Authorized official phone:** (502) 774-0671

## Contact information

- **Practice address:** 148 COMMERCIAL DR, LONDON, KY 40744-8204
- **Practice address phone:** (606) 260-8532
- **Practice address fax:** (606) 260-8534
- **Mailing address:** 148 COMMERCIAL DR, LONDON, KY 40744-8204
- **Mailing address phone:** (606) 309-2531

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 05/07/2024
- **Last updated:** 11/19/2024