Healthcare Provider Details

I. General information

NPI: 1811814841
Provider Name (Legal Business Name): ASHLEIGH GRIMSHAW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1375 GATEWAY BLVD
BOYNTON BEACH FL
33426-8304
US

IV. Provider business mailing address

217 VILLA CIR
BOYNTON BEACH FL
33435-8905
US

V. Phone/Fax

Practice location:
  • Phone: 561-314-5074
  • Fax:
Mailing address:
  • Phone: 571-288-6570
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: