Healthcare Provider Details

I. General information

NPI: 1609702000
Provider Name (Legal Business Name): NEVILLE BESSEM ASHU ASHU SR.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9106 PIPER RIDGE CT
LANHAM MD
20706-3380
US

IV. Provider business mailing address

9106 PIPER RIDGE CT
LANHAM MD
20706-3380
US

V. Phone/Fax

Practice location:
  • Phone: 678-495-7689
  • Fax:
Mailing address:
  • Phone: 240-484-9461
  • Fax: 240-484-9461

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: