| Asencio Therapeutic Services, Pllc | |
|
7810 Ballantyne Commons Pkwy Ste 222 Charlotte NC 28277-3416 | |
| (704) 672-0578 | |
| (704) 672-0726 |
| Full Name | Asencio Therapeutic Services, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 7810 Ballantyne Commons Pkwy Ste 222, Charlotte, North Carolina |
| Authorized Official Name and Position | Cassandra Rhea Rondel Asencio (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 7046720578 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Asencio Therapeutic Services, Pllc 318 Hillandale Dr Charlotte NC 28270-0994 Ph: (734) 972-8970 | Asencio Therapeutic Services, Pllc 7810 Ballantyne Commons Pkwy Ste 222 Charlotte NC 28277-3416 Ph: (704) 672-0578 |
| NPI Number | 1538735634 |
|---|---|
| Provider Enumeration Date | 05/28/2021 |
| Last Update Date | 05/28/2021 |
| Certification Date | 05/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538735634 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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