| Ascend Therapy Llc | |
|
1092 Saint Johns Chase Grand Ledge MI 48837-9781 | |
| (517) 214-3354 | |
| Not Available |
| Full Name | Ascend Therapy Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1092 Saint Johns Chase, Grand Ledge, Michigan |
| Authorized Official Name and Position | Laurie Danielle Desilva (MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 5172143354 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ascend Therapy Llc 1092 Saint Johns Chase Grand Ledge MI 48837-9781 Ph: (517) 214-3354 | Ascend Therapy Llc 1092 Saint Johns Chase Grand Ledge MI 48837-9781 Ph: (517) 214-3354 |
| NPI Number | 1760174908 |
|---|---|
| Provider Enumeration Date | 05/25/2023 |
| Last Update Date | 05/25/2023 |
| Certification Date | 05/24/2023 |
| Medicare PECOS PAC ID | 2365809134 |
|---|---|
| Medicare Enrollment ID | O20230609001025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760174908 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Laurie D Desilva |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235191255 PECOS PAC ID: 4385725241 Enrollment ID: I20080116000696 |
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