| Ascend Behavioral Health Services Llc | |
|
6360 Presidential Ct Ste 1 Fort Myers FL 33919-3501 | |
| (786) 377-5643 | |
| (786) 802-2011 |
| Full Name | Ascend Behavioral Health Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6360 Presidential Ct Ste 1, Fort Myers, Florida |
| Authorized Official Name and Position | David Roque (OWNER) |
| Authorized Official Contact | 7863775643 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ascend Behavioral Health Services Llc 6360 Presidential Ct Ste 1 Fort Myers FL 33919-3501 Ph: (786) 377-5643 | Ascend Behavioral Health Services Llc 6360 Presidential Ct Ste 1 Fort Myers FL 33919-3501 Ph: (786) 377-5643 |
| NPI Number | 1407403397 |
|---|---|
| Provider Enumeration Date | 08/24/2019 |
| Last Update Date | 04/25/2024 |
| Certification Date | 04/25/2024 |
| Medicare PECOS PAC ID | 7911339205 |
|---|---|
| Medicare Enrollment ID | O20200102000233 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407403397 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Asaf Aleem |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851371405 PECOS PAC ID: 2365426269 Enrollment ID: I20180625000319 |
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