Healthcare Provider Details

I. General information

NPI: 1669329827
Provider Name (Legal Business Name): AFTERGLOW BEHAVIORAL & SEXUAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2026
Last Update Date: 03/16/2026
Certification Date: 03/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3033 PEWTER RD
VIRGINIA BEACH VA
23452-6419
US

IV. Provider business mailing address

3033 PEWTER RD
VIRGINIA BEACH VA
23452-6419
US

V. Phone/Fax

Practice location:
  • Phone: 859-955-8852
  • Fax:
Mailing address:
  • Phone: 859-955-8852
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: DR. RYAN AYERS
Title or Position: THERAPIST, FOUNDER
Credential: LCSW, CST
Phone: 859-955-8852