Organization
ASCENSION THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDRE JOACHIM LCPC (EXECUTIVE DIRECTOR)
(815) 603-2031
Entity
Organization
Contact information
Practice address
1300 N HIGHLAND AVE STE 5, AURORA, IL 60506-1464
(630) 614-1821
Mailing address
702 W GALENA BLVD, AURORA, IL 60506-3852
(815) 603-2031
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/29/2022
Last updated
06/29/2022
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