Healthcare Provider Details

I. General information

NPI: 1811331358
Provider Name (Legal Business Name): MRS. ASHLEY HORSLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ASHLEY HENRY

II. Dates (important events)

Enumeration Date: 04/27/2013
Last Update Date: 12/28/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3820 NINE MILE RD
RICHMOND VA
23223
US

IV. Provider business mailing address

441 E BEAL ST
HIGHLAND SPRINGS VA
23075-1739
US

V. Phone/Fax

Practice location:
  • Phone: 804-343-6500
  • Fax: 804-343-6515
Mailing address:
  • Phone: 757-717-8519
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number0813000865
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: