| Ascension Therapy Services, Llc | |
|
1545 Shaker Run Blvd Lebanon OH 45036-4004 | |
| (304) 617-7859 | |
| Not Available |
| Full Name | Ascension Therapy Services, Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1545 Shaker Run Blvd, Lebanon, Ohio |
| Authorized Official Name and Position | Amber Dawn Moore (OWNER) |
| Authorized Official Contact | 3046177859 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ascension Therapy Services, Llc 1545 Shaker Run Blvd Lebanon OH 45036-4004 Ph: (304) 617-7859 | Ascension Therapy Services, Llc 1545 Shaker Run Blvd Lebanon OH 45036-4004 Ph: (304) 617-7859 |
| NPI Number | 1508420357 |
|---|---|
| Provider Enumeration Date | 04/26/2019 |
| Last Update Date | 04/26/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508420357 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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