Healthcare Provider Details
I. General information
NPI: 1255696621
Provider Name (Legal Business Name): VIRGINIA OWENS ASHER LPCMH, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/11/2012
Last Update Date: 06/26/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
252 CARTER DR STE 100
MIDDLETOWN DE
19709-5858
US
IV. Provider business mailing address
8 POLLY DRUMMOND HILL RD
NEWARK DE
19711-5703
US
V. Phone/Fax
- Phone: 302-449-2223
- Fax: 302-449-2332
- Phone: 302-738-6859
- Fax: 302-368-5309
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | PC-0000675 |
| License Number State | DE |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | AC-0000055 |
| License Number State | DE |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: