Healthcare Provider Details

I. General information

NPI: 1881228427
Provider Name (Legal Business Name): ASHLEY MELTON LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/22/2020
Last Update Date: 07/19/2026
Certification Date: 07/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14321 WINTER BREEZE DR STE 112
MIDLOTHIAN VA
23113-2452
US

IV. Provider business mailing address

8905 HUNTINGCREEK TER
NORTH CHESTERFIELD VA
23237-3141
US

V. Phone/Fax

Practice location:
  • Phone: 804-234-3230
  • Fax: 804-299-4056
Mailing address:
  • Phone: 804-929-1833
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701007067
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: