| Ascend Wellness, Llc | |
|
64 Dogwood Trl London KY 40741-8280 | |
| (606) 309-2531 | |
| Not Available |
| Full Name | Ascend Wellness, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 64 Dogwood Trl, London, Kentucky |
| Authorized Official Name and Position | Stephanie Gail Hall (CREDENTIALING AGENT) |
| Authorized Official Contact | 5027740671 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ascend Wellness, Llc 148 Commercial Dr London KY 40744-8204 Ph: (606) 309-2531 | Ascend Wellness, Llc 64 Dogwood Trl London KY 40741-8280 Ph: (606) 309-2531 |
| NPI Number | 1619725579 |
|---|---|
| Provider Enumeration Date | 05/07/2024 |
| Last Update Date | 07/22/2024 |
| Certification Date | 07/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619725579 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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