| Ascend Coaching And Therapy Inc | |
|
6237 Vance Rd Ste 4 Chattanooga TN 37421-2954 | |
| (773) 888-2713 | |
| Not Available |
| Full Name | Ascend Coaching And Therapy Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 6237 Vance Rd Ste 4, Chattanooga, Tennessee |
| Authorized Official Name and Position | Aline Bethea Talmage Defiglia (PRESIDENT) |
| Authorized Official Contact | 7708949693 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ascend Coaching And Therapy Inc 4127 Briar St Chattanooga TN 37412-2605 Ph: (770) 894-9693 | Ascend Coaching And Therapy Inc 6237 Vance Rd Ste 4 Chattanooga TN 37421-2954 Ph: (773) 888-2713 |
| NPI Number | 1871220822 |
|---|---|
| Provider Enumeration Date | 08/01/2022 |
| Last Update Date | 08/01/2022 |
| Certification Date | 08/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871220822 | NPI | - | NPPES |
| 1477998334 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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