Healthcare Provider Details

I. General information

NPI: 1588425219
Provider Name (Legal Business Name): ASHLEY OBRIEN LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/19/2024
Last Update Date: 01/19/2024
Certification Date: 01/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 LOVETT BLVD
HOUSTON TX
77006-3908
US

IV. Provider business mailing address

900 LOVETT BLVD
HOUSTON TX
77006-3908
US

V. Phone/Fax

Practice location:
  • Phone: 832-241-9562
  • Fax:
Mailing address:
  • Phone: 713-470-9878
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: