Healthcare Provider Details

I. General information

NPI: 1851140016
Provider Name (Legal Business Name): ASHLEY M HOUSLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/17/2024
Last Update Date: 02/19/2026
Certification Date: 02/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3401 N 191ST AVE
ELKHORN NE
68022-3350
US

IV. Provider business mailing address

2622 S 3RD STREET PLZ
OMAHA NE
68108-1712
US

V. Phone/Fax

Practice location:
  • Phone: 402-205-4930
  • Fax: 402-205-4932
Mailing address:
  • Phone: 208-972-7716
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number4465
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: