Healthcare Provider Details

I. General information

NPI: 1740076702
Provider Name (Legal Business Name): ASHLEY LOWE
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/16/2025
Last Update Date: 03/01/2026
Certification Date: 03/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

540 ASHBURY AVE
EL CERRITO CA
94530-3221
US

IV. Provider business mailing address

222 HALL DR
ORINDA CA
94563-4006
US

V. Phone/Fax

Practice location:
  • Phone: 510-995-7511
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: