Ashton Therapeutics Llc | |
350 Southbridge St Mooresville IN 46158-2794 | |
(206) 414-9022 | |
Not Available |
Full Name | Ashton Therapeutics Llc |
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Speciality | Social Worker |
Location | 350 Southbridge St, Mooresville, Indiana |
Authorized Official Name and Position | Ashley Nicole Ashton (PROVIDER) |
Authorized Official Contact | 2065954319 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ashton Therapeutics Llc 350 Southbridge St Mooresville IN 46158-2794 Ph: (206) 414-9022 | Ashton Therapeutics Llc 350 Southbridge St Mooresville IN 46158-2794 Ph: (206) 414-9022 |
NPI Number | 1780311233 |
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Provider Enumeration Date | 08/04/2022 |
Last Update Date | 09/06/2023 |
Certification Date | 04/18/2023 |
Medicare PECOS PAC ID | 5496124489 |
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Medicare Enrollment ID | O20221214001069 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780311233 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
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