Healthcare Provider Details

I. General information

NPI: 1649839630
Provider Name (Legal Business Name): TIMOTHY ASHDOWN LCPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/12/2019
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10711 RED RUN BLVD STE 101
OWINGS MILLS MD
21117-5138
US

IV. Provider business mailing address

10711 RED RUN BLVD STE 101
OWINGS MILLS MD
21117-5138
US

V. Phone/Fax

Practice location:
  • Phone: 443-930-1927
  • Fax:
Mailing address:
  • Phone: 443-930-1927
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLC9605
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: