Provider Demographics
NPI:1760174908
Name:ASCEND THERAPY LLC
Entity Type:Organization
Organization Name:ASCEND THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:LAURIE
Authorized Official - Middle Name:DANIELLE
Authorized Official - Last Name:DESILVA
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:517-214-3354
Mailing Address - Street 1:1092 SAINT JOHNS CHASE
Mailing Address - Street 2:
Mailing Address - City:GRAND LEDGE
Mailing Address - State:MI
Mailing Address - Zip Code:48837-9781
Mailing Address - Country:US
Mailing Address - Phone:517-214-3354
Mailing Address - Fax:
Practice Address - Street 1:1092 SAINT JOHNS CHASE
Practice Address - Street 2:
Practice Address - City:GRAND LEDGE
Practice Address - State:MI
Practice Address - Zip Code:48837-9781
Practice Address - Country:US
Practice Address - Phone:517-214-3354
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-25
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty