Healthcare Provider Details

I. General information

NPI: 1023970688
Provider Name (Legal Business Name): ASHTON SANTOLLA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/02/2025
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

714 CAROLINA AVE
YADKINVILLE NC
27055-7788
US

IV. Provider business mailing address

797 SOMMERDALE CT
RURAL HALL NC
27045-9342
US

V. Phone/Fax

Practice location:
  • Phone: 336-818-0733
  • Fax:
Mailing address:
  • Phone: 336-529-9355
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: