Healthcare Provider Details

I. General information

NPI: 1801715297
Provider Name (Legal Business Name): MELISSA M. ASHBY QMHP, CSAC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3604 CEDAR COMMONS RD
RICHMOND VA
23223-2738
US

IV. Provider business mailing address

3604 CEDAR COMMONS RD
RICHMOND VA
23223-2738
US

V. Phone/Fax

Practice location:
  • Phone: 804-300-6465
  • Fax:
Mailing address:
  • Phone: 804-300-6465
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number0711000118
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number0734007399
License Number StateVA
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0734007399
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: