Provider Demographics
NPI:1265132864
Name:BALL, MAYA LEIGH (MSW, LCSW)
Entity type:Individual
Prefix:MS
First Name:MAYA
Middle Name:LEIGH
Last Name:BALL
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:260 GRAYSON RD STE 200
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462-4443
Mailing Address - Country:US
Mailing Address - Phone:574-594-6407
Mailing Address - Fax:
Practice Address - Street 1:260 GRAYSON RD STE 200
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-4443
Practice Address - Country:US
Practice Address - Phone:757-459-4640
Practice Address - Fax:757-459-4643
Is Sole Proprietor?:No
Enumeration Date:2023-03-03
Last Update Date:2025-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040149211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical