ASE LTC LLC NPI 1275387029

NPI Information

  • NPI: 1275387029
  • Provider Name: ASE LTC LLC
  • Classification: Psychiatry & Neurology - 2084A0401X
  • Specialization: Addiction Medicine
  • Entity Type: Organization
  • Address: 5710 OLEANDER DR STE 100
    WILMINGTON, NC
    ZIP 28403
  • Phone: (412) 818-4115

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NPI Details

ASE LTC LLC is an addiction medicine psychiatry neurology in Wilmington, NC. The provider is a doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine ASE LTC LLC NPI is 1275387029. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5710 OLEANDER DR STE 100
WILMINGTON, NC
ZIP 28403-723
Phone: (412) 818-4115

The provider's authorized official is Levi Small .
The authorized official title is Ceo and has the following contact phone number (412) 818-4115.

The enumeration date for this NPI number is 4/16/2024 and was last updated on 4/16/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2101YM0800XCounselorMental HealthNo
3207QA0401XFamily MedicineAddiction MedicineNo
4207RA0401XInternal MedicineAddiction MedicineNo
52084A0401XPsychiatry & NeurologyAddiction MedicineYes
6363AM0700XPhysician AssistantMedicalNo
7363LP0808XNurse PractitionerPsychiatric/Mental HealthNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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