Healthcare Provider Details

I. General information

NPI: 1912839069
Provider Name (Legal Business Name): ASHLEY HOFFMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1140 PROFESSIONAL CT
HAGERSTOWN MD
21740-5852
US

IV. Provider business mailing address

1140 PROFESSIONAL CT
HAGERSTOWN MD
21740-5852
US

V. Phone/Fax

Practice location:
  • Phone: 301-778-5900
  • Fax: 301-778-5200
Mailing address:
  • Phone: 301-778-5900
  • Fax: 301-778-5200

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLGP16256
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: