Organization · NPI-2

Ascend Mind And Body Of Wesley Chapel LLC

Counselor, Mental Health · Lakeland, FL

NPI number1902769193

StatusActive

Last updated in NPPESDec 4, 2025

Details

NPI: 1902769193
Entity type: Organization (NPI-2)
Legal business name: Ascend Mind And Body Of Wesley Chapel LLC
Organization subpart: Yes
Enumeration date: Dec 4, 2025
Certification date: Dec 4, 2025
Last updated: Dec 4, 2025

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
101YM0800X	Counselor, Mental Health	–	–	Yes
207Q00000X	Family Medicine	–	–
2084P0800X	Psychiatry & Neurology, Psychiatry	–	–
208D00000X	General Practice	–	–

Practice location

832 S Florida Ave
Suite 1, 2nd Floor
Lakeland, FL 33801-5202

Phone 813-670-3005 · Fax 844-548-7006

Mailing address

832 S Florida Ave
Lakeland, FL 33801-5202

Phone 813-670-3005 · Fax 844-548-7006

Authorized official

Shauna Horn
Director Of Bus. Dev. & Ops
6562377722

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