Provider Demographics
NPI:1750011375
Name:ASCEND FAMILY THERAPY LLC
Entity Type:Organization
Organization Name:ASCEND FAMILY THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:WHELCHEL
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:808-268-6555
Mailing Address - Street 1:737 ULAULA WAY
Mailing Address - Street 2:
Mailing Address - City:WAILUKU
Mailing Address - State:HI
Mailing Address - Zip Code:96793-1580
Mailing Address - Country:US
Mailing Address - Phone:808-268-6555
Mailing Address - Fax:
Practice Address - Street 1:135 S WAKEA AVE STE 208
Practice Address - Street 2:
Practice Address - City:KAHULUI
Practice Address - State:HI
Practice Address - Zip Code:96732-1385
Practice Address - Country:US
Practice Address - Phone:808-268-6555
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-15
Last Update Date:2022-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty