Organization
ASCEND PSYCHOLOGICAL SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE S BOWERSOX (OFFICE ADMINISTRATOR)
(704) 202-2056
Entity
Organization
Contact information
Practice address
110A EAST MAIN STREET, ROCKWELL, NC 28138
(704) 279-0626
(704) 279-0344
Mailing address
PO BOX 271, ROCKWELL, NC 28138-0271
(704) 202-2056
(704) 279-0344
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NC
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
4413
NC
103T00000X
Psychologist
Primary
—
—
251S00000X
Community/Behavioral Health Agency
4413
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447536792
NPI TYPE 1
—
Enumeration date
01/22/2014
Last updated
08/17/2017
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