Provider Demographics
NPI:1508431487
Name:AUSTIN, ASIA (MSW)
Entity Type:Individual
Prefix:
First Name:ASIA
Middle Name:
Last Name:AUSTIN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 SEBAGO DR APT F
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23702-2523
Mailing Address - Country:US
Mailing Address - Phone:757-394-4316
Mailing Address - Fax:
Practice Address - Street 1:12 SEBAGO DR APT F
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23702-2523
Practice Address - Country:US
Practice Address - Phone:757-394-4316
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-24
Last Update Date:2021-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor