Provider Demographics
NPI:1245073139
Name:ASCENSION BEHAVIORAL COUNSELING AND WELLNESS PLLC
Entity type:Organization
Organization Name:ASCENSION BEHAVIORAL COUNSELING AND WELLNESS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, LCAS
Authorized Official - Phone:252-327-9137
Mailing Address - Street 1:374 STALLINGS MILL LOOP APT 101
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:NC
Mailing Address - Zip Code:27520-3116
Mailing Address - Country:US
Mailing Address - Phone:252-327-9137
Mailing Address - Fax:
Practice Address - Street 1:374 STALLINGS MILL LOOP APT 101
Practice Address - Street 2:
Practice Address - City:CLAYTON
Practice Address - State:NC
Practice Address - Zip Code:27520-3116
Practice Address - Country:US
Practice Address - Phone:252-327-9137
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-17
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty