Provider Demographics
NPI:1780291955
Name:ASCENSION BEHAVIORAL HEALTH AND WELLNESS
Entity type:Organization
Organization Name:ASCENSION BEHAVIORAL HEALTH AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:TURQUOISE
Authorized Official - Middle Name:
Authorized Official - Last Name:RAWLINGS-PERRIN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:757-927-9416
Mailing Address - Street 1:6410 DUQUESNE PL
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23464-4433
Mailing Address - Country:US
Mailing Address - Phone:757-927-9416
Mailing Address - Fax:
Practice Address - Street 1:6410 DUQUESNE PL
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23464-4433
Practice Address - Country:US
Practice Address - Phone:757-927-9416
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-30
Last Update Date:2020-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health