MEDICARE: AFTERGLOW BEHAVIORAL & SEXUAL HEALTH

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101YM0800X	Mental Health Counselor
2	1041C0700X	Clinical Social Worker
3	101Y00000X	Counselor

General Provider Information

NPI Number	:	1669329827
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AFTERGLOW BEHAVIORAL & SEXUAL HEALTH

Provider Business Mailing Address
First Line	:	3033 PEWTER RD
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23452-6419
Country	:	US
Telephone Number	:	859-955-8852
Fax Number	:

Provider Business Practice Location Address
First Line	:	3033 PEWTER RD
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23452-6419
Country	:	US
Telephone Number	:	859-955-8852
Fax Number	:

Authorized Official
Title or Position	:	THERAPIST, FOUNDER
Name	:	DR. RYAN AYERS
Credential	:	LCSW, CST
Telephone Number	:	859-955-8852

Provider Enumeration Date	:	03/16/2026
Last Update Date	:	03/16/2026

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Directions to “AFTERGLOW BEHAVIORAL & SEXUAL HEALTH ” Practice Location

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