MEDICARE: ASCENT BEHAVIORAL WELLNESS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist

General Provider Information

NPI Number	:	1063179182
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASCENT BEHAVIORAL WELLNESS

Provider Business Mailing Address
First Line	:	1600 WILSON BLVD STE 702
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22209-2505
Country	:	US
Telephone Number	:	202-630-6506
Fax Number	:

Provider Business Practice Location Address
First Line	:	1600 WILSON BLVD STE 702
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22209-2505
Country	:	US
Telephone Number	:	202-630-6506
Fax Number	:

Authorized Official
Title or Position	:	LICENSED CLINICAL PSYCHOLOGIST
Name	:	DR. ZEYAD LAYOUS
Credential	:	PSYD
Telephone Number	:	202-630-6506

Provider Enumeration Date	:	11/23/2021
Last Update Date	:	11/23/2021

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Directions to “ASCENT BEHAVIORAL WELLNESS ” Practice Location

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