Provider Demographics
NPI:1427561810
Name:ASE BEHAVIORAL HEALTH AND WELLNESS, PLLC
Entity type:Organization
Organization Name:ASE BEHAVIORAL HEALTH AND WELLNESS, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TONYA
Authorized Official - Middle Name:MONIQUE
Authorized Official - Last Name:PEAVY
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD, LPC-S
Authorized Official - Phone:713-714-3800
Mailing Address - Street 1:PO BOX 1282
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-1282
Mailing Address - Country:US
Mailing Address - Phone:713-714-3800
Mailing Address - Fax:844-707-2493
Practice Address - Street 1:3643 TELFORD LN
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-2869
Practice Address - Country:US
Practice Address - Phone:713-714-3800
Practice Address - Fax:844-707-2493
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-08
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No171400000XOther Service ProvidersHealth & Wellness CoachGroup - Multi-Specialty
No2084B0002XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyObesity MedicineGroup - Multi-Specialty
No251B00000XAgenciesCase ManagementGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral Health