Healthcare Provider Details

I. General information

NPI: 1760357263
Provider Name (Legal Business Name): ASHLEE MERGLER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/06/2025
Last Update Date: 10/06/2025
Certification Date: 10/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22639 CENTER PKWY
ACCOMAC VA
23301-1340
US

IV. Provider business mailing address

24255 SWAN LN
ONANCOCK VA
23417-2801
US

V. Phone/Fax

Practice location:
  • Phone: 757-302-0501
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0704018547
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: