Healthcare Provider Details

I. General information

NPI: 1013832963
Provider Name (Legal Business Name): ASHLEY PATRICE TERESA CREWS CHES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2113 W CHELTENHAM AVE APT B
ELKINS PARK PA
19027-1030
US

IV. Provider business mailing address

2113 W CHELTENHAM AVE APT B
ELKINS PARK PA
19027-1030
US

V. Phone/Fax

Practice location:
  • Phone: 804-467-4007
  • Fax:
Mailing address:
  • Phone: 804-467-4007
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number30578
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number30578
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: