Provider Demographics
NPI:1952574691
Name:ELAYAN, ASMAHAN OMAR (BS)
Entity Type:Individual
Prefix:
First Name:ASMAHAN
Middle Name:OMAR
Last Name:ELAYAN
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:ASMAHAN
Other - Middle Name:
Other - Last Name:CLAYPOOL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 9054
Mailing Address - Street 2:
Mailing Address - City:GRAY
Mailing Address - State:TN
Mailing Address - Zip Code:37615-9054
Mailing Address - Country:US
Mailing Address - Phone:423-467-3600
Mailing Address - Fax:423-467-3644
Practice Address - Street 1:610 CAMPUS DR
Practice Address - Street 2:
Practice Address - City:ABINGDON
Practice Address - State:VA
Practice Address - Zip Code:24210-2589
Practice Address - Country:US
Practice Address - Phone:276-525-1550
Practice Address - Fax:276-525-1609
Is Sole Proprietor?:No
Enumeration Date:2008-04-02
Last Update Date:2021-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040122341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical