Organization
ASPIRE WELLNESS GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARRY TYRELL CLAYTON LCSW (FOUNDER)
(804) 243-9150
Entity
Organization
Contact information
Practice address
7107 KOUFAX CT, NORTH CHESTERFIELD, VA 23234-8217
(804) 243-9150
Mailing address
7107 KOUFAX CT, NORTH CHESTERFIELD, VA 23234-8217
(804) 243-9150
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
163W00000X
Registered Nurse
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/04/2025
Last updated
08/20/2025
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