Healthcare Provider Details

I. General information

NPI: 1841744232
Provider Name (Legal Business Name): ASHLEY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2016
Last Update Date: 03/09/2023
Certification Date: 03/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 W HIGH ST SUITE 109
ELKTON MD
21921-5529
US

IV. Provider business mailing address

800 TYDINGS LN
HAVRE DE GRACE MD
21078-2102
US

V. Phone/Fax

Practice location:
  • Phone: 443-760-3620
  • Fax: 443-371-2638
Mailing address:
  • Phone: 800-799-4673
  • Fax: 410-273-2290

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER AGUGLIA
Title or Position: VICE PRESIDENT OF CLINICAL SERVICES
Credential: LCSW-C
Phone: 410-273-2462