Healthcare Provider Details

I. General information

NPI: 1740192186
Provider Name (Legal Business Name): ASHLEY W. A. HAMMERICH LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7153 E GENESEE ST
FAYETTEVILLE NY
13066-1266
US

IV. Provider business mailing address

8435 BRAE LEURE RD
MANLIUS NY
13104-9766
US

V. Phone/Fax

Practice location:
  • Phone: 315-217-1355
  • Fax:
Mailing address:
  • Phone: 315-416-9274
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number018514
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: