Healthcare Provider Details

I. General information

NPI: 1265326193
Provider Name (Legal Business Name): ASHLEIGH N HESLOP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ASHLEIGH N SCHULTHEISZ

II. Dates (important events)

Enumeration Date: 06/05/2025
Last Update Date: 06/23/2025
Certification Date: 06/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 HILDRETH LN
MARIETTA OH
45750-1768
US

IV. Provider business mailing address

450 D A V RD APT B
WHIPPLE OH
45788-5030
US

V. Phone/Fax

Practice location:
  • Phone: 740-516-2192
  • Fax:
Mailing address:
  • Phone: 740-516-2192
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: