Healthcare Provider Details

I. General information

NPI: 1578478855
Provider Name (Legal Business Name): ASHLEY HALL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1230 ROSECRANS AVE STE 300
MANHATTAN BEACH CA
90266-2494
US

IV. Provider business mailing address

13351 RIVERSIDE DR # 308
SHERMAN OAKS CA
91423-2542
US

V. Phone/Fax

Practice location:
  • Phone: 424-262-2209
  • Fax:
Mailing address:
  • Phone: 310-737-8241
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberAPCC23488
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number164985
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: