Healthcare Provider Details

I. General information

NPI: 1568380699
Provider Name (Legal Business Name): ASHLEY HERBERT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

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

III. Provider practice location address

300 BATTLES ST
BROCKTON MA
02301-2231
US

IV. Provider business mailing address

3 LAMBERT ST
ROXBURY MA
02119-3506
US

V. Phone/Fax

Practice location:
  • Phone: 508-587-2579
  • Fax: 508-583-8046
Mailing address:
  • Phone: 857-385-8301
  • 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: