Provider Demographics
NPI:1063179182
Name:ASCENT BEHAVIORAL WELLNESS
Entity type:Organization
Organization Name:ASCENT BEHAVIORAL WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ZEYAD
Authorized Official - Middle Name:
Authorized Official - Last Name:LAYOUS
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:202-630-6506
Mailing Address - Street 1:1600 WILSON BLVD STE 702
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22209-2505
Mailing Address - Country:US
Mailing Address - Phone:202-630-6506
Mailing Address - Fax:
Practice Address - Street 1:1600 WILSON BLVD STE 702
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22209-2505
Practice Address - Country:US
Practice Address - Phone:202-630-6506
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-23
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty