Healthcare Provider Details

I. General information

NPI: 1427759950
Provider Name (Legal Business Name): ASHLEY OURSLER LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/13/2023
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5419 DEALE CHURCHTON RD STE 104
CHURCHTON MD
20733-2408
US

IV. Provider business mailing address

575 SONOMA LN
PRINCE FREDERICK MD
20678-3505
US

V. Phone/Fax

Practice location:
  • Phone: 410-541-6686
  • Fax:
Mailing address:
  • Phone: 443-280-3052
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberLGP13161
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLGP13161
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: