| Ascend Counseling & Training Solutions | |
|
12200 Fairhill Rd Cleveland OH 44120-1058 | |
| (216) 923-0333 | |
| (216) 923-0340 |
| Full Name | Ascend Counseling & Training Solutions |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 12200 Fairhill Rd, Cleveland, Ohio |
| Authorized Official Name and Position | Joy Jackson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2169230333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ascend Counseling & Training Solutions 12200 Fairhill Rd Cleveland OH 44120-1058 Ph: (216) 923-0333 | Ascend Counseling & Training Solutions 12200 Fairhill Rd Cleveland OH 44120-1058 Ph: (216) 923-0333 |
| NPI Number | 1871192310 |
|---|---|
| Provider Enumeration Date | 10/24/2020 |
| Last Update Date | 10/24/2020 |
| Certification Date | 10/24/2020 |
| Medicare PECOS PAC ID | 8123437068 |
|---|---|
| Medicare Enrollment ID | O20210506000440 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871192310 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Joy A Jackson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235428780 PECOS PAC ID: 5991937179 Enrollment ID: I20140423000539 |
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