Healthcare Provider Details

I. General information

NPI: 1710899455
Provider Name (Legal Business Name): ASHLEY AMOIA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1447 YORK RD STE 601
LUTHERVILLE MD
21093-6034
US

IV. Provider business mailing address

88 SUNSET DR
HANOVER PA
17331-9493
US

V. Phone/Fax

Practice location:
  • Phone: 410-870-8298
  • Fax:
Mailing address:
  • Phone: 724-506-2236
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLG18506
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: