Provider Demographics
NPI:1184471898
Name:ASCENSION PSYCHIATRIC SERVICES LLC
Entity type:Organization
Organization Name:ASCENSION PSYCHIATRIC SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NP
Authorized Official - Prefix:
Authorized Official - First Name:NKESE
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS-HAYES
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:804-816-0151
Mailing Address - Street 1:11408 WILLOWS GREEN WAY
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23059-5685
Mailing Address - Country:US
Mailing Address - Phone:804-816-0151
Mailing Address - Fax:
Practice Address - Street 1:903 W BROADWAY
Practice Address - Street 2:
Practice Address - City:HOPEWELL
Practice Address - State:VA
Practice Address - Zip Code:23860-2536
Practice Address - Country:US
Practice Address - Phone:804-816-0151
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-01
Last Update Date:2024-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty