Healthcare Provider Details

I. General information

NPI: 1588031587
Provider Name (Legal Business Name): ASHLEY PEREZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ASHLEY MARCHAL LMHC

II. Dates (important events)

Enumeration Date: 08/25/2015
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 B ST
HUDSON NH
03051-2844
US

IV. Provider business mailing address

567 CENTRAL AVE
NEEDHAM MA
02494-1427
US

V. Phone/Fax

Practice location:
  • Phone: 781-956-9454
  • Fax:
Mailing address:
  • Phone: 781-956-9454
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: