Healthcare Provider Details

I. General information

NPI: 1528962958
Provider Name (Legal Business Name): ASSUAGE SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3101 AMERICAN LEGION RD
CHESAPEAKE VA
23321-5655
US

IV. Provider business mailing address

PO BOX 5038
PORTSMOUTH VA
23703-1038
US

V. Phone/Fax

Practice location:
  • Phone: 757-800-5579
  • Fax:
Mailing address:
  • Phone: 757-800-5579
  • Fax: 757-765-6628

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: AYANA WILLIS
Title or Position: PROGRAM DIRECTOR
Credential: LCSW
Phone: 757-800-5579