Organization
ASCEND BEHAVIORAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID O ROQUE PA (PRESIDENT)
(786) 373-3027
Entity
Organization
Contact information
Practice address
6360 PRESIDENTIAL CT STE 1, FORT MYERS, FL 33919-3501
(786) 373-3027
(786) 802-2011
Mailing address
6360 PRESIDENTIAL CT STE 1, FORT MYERS, FL 33919-3501
(786) 373-3027
(786) 802-2011
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/24/2019
Last updated
01/14/2026
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