Healthcare Provider Details

I. General information

NPI: 1124906458
Provider Name (Legal Business Name): ASHLEY URBANO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2025
Last Update Date: 08/25/2025
Certification Date: 08/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 W GRAND AVE
PORTERVILLE CA
93257-2029
US

IV. Provider business mailing address

2229 W LIBERTY ST
HANFORD CA
93230-8409
US

V. Phone/Fax

Practice location:
  • Phone: 559-530-4393
  • Fax:
Mailing address:
  • Phone: 559-530-4393
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: