| Ase Ltc Llc | |
|
5710 Oleander Dr Ste 100 Wilmington NC 28403-4723 | |
| (888) 600-5147 | |
| Not Available |
| Full Name | Ase Ltc Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 5710 Oleander Dr Ste 100, Wilmington, North Carolina |
| Authorized Official Name and Position | Levi Small (CEO) |
| Authorized Official Contact | 9102390377 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ase Ltc Llc 5710 Oleander Dr Ste 100 Wilmington NC 28403-4723 Ph: () - | Ase Ltc Llc 5710 Oleander Dr Ste 100 Wilmington NC 28403-4723 Ph: (888) 600-5147 |
| NPI Number | 1962182881 |
|---|---|
| Provider Enumeration Date | 07/25/2023 |
| Last Update Date | 05/14/2025 |
| Certification Date | 05/08/2025 |
| Medicare PECOS PAC ID | 8224571385 |
|---|---|
| Medicare Enrollment ID | O20240617003232 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962182881 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Secondary |
| Provider Name | Charlotte Rosenberg |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629706148 PECOS PAC ID: 5092258178 Enrollment ID: I20240617003825 |
| Provider Name | Shenita Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649928995 PECOS PAC ID: 5991248072 Enrollment ID: I20240617003888 |
| Provider Name | Caitlin Faulk |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497191050 PECOS PAC ID: 6800330721 Enrollment ID: I20240703000375 |
| Provider Name | Scottie M Joines |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578069159 PECOS PAC ID: 5597274803 Enrollment ID: I20250529003370 |
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