Healthcare Provider Details

I. General information

NPI: 1881241222
Provider Name (Legal Business Name): ASHLY HEATHER KOWALSKI LM, CPM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/21/2019
Last Update Date: 06/09/2025
Certification Date: 06/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11321 RICHMOND AVE STE M101
HOUSTON TX
77082-5545
US

IV. Provider business mailing address

11321 RICHMOND AVE STE M101
HOUSTON TX
77082-5545
US

V. Phone/Fax

Practice location:
  • Phone: 346-800-3885
  • Fax:
Mailing address:
  • Phone: 346-800-3885
  • Fax: 346-808-4522

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number99387
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: