| Ascending Hope Counseling, Pllc | |
|
1451 S Elm Eugene St Ste 3110 Greensboro NC 27406-2200 | |
| (336) 920-1606 | |
| Not Available |
| Full Name | Ascending Hope Counseling, Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1451 S Elm Eugene St Ste 3110, Greensboro, North Carolina |
| Authorized Official Name and Position | Shelvey Jean Wallace (OWNER) |
| Authorized Official Contact | 3367078535 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ascending Hope Counseling, Pllc 230 Webster Rd Apt B Greensboro NC 27406-5861 Ph: (336) 707-8535 | Ascending Hope Counseling, Pllc 1451 S Elm Eugene St Ste 3110 Greensboro NC 27406-2200 Ph: (336) 920-1606 |
| NPI Number | 1801410600 |
|---|---|
| Provider Enumeration Date | 06/08/2020 |
| Last Update Date | 06/23/2022 |
| Certification Date | 06/23/2022 |
| Medicare PECOS PAC ID | 5496179947 |
|---|---|
| Medicare Enrollment ID | O20200716003976 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801410600 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Shelvey J Wallace |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588900989 PECOS PAC ID: 1153682604 Enrollment ID: I20180227000015 |
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