Organization
ASCENSION THERAPEUTIC SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA DANITA SMITH (EXECUTIVE DIRECTOR)
(704) 418-1554
Entity
Organization
Contact information
Practice address
1736 DICKERSON BLVD STE 143, MONROE, NC 28110-2832
(704) 418-1554
Mailing address
1736 DICKERSON BLVD STE 143, MONROE, NC 28110-2832
(704) 418-1554
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
09/24/2019
Last updated
09/24/2019
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