Healthcare Provider Details

I. General information

NPI: 1114830379
Provider Name (Legal Business Name): CRESCENDO HEALTH AND WELLNESS COACHING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20397 PENOLA RD
RUTHER GLEN VA
22546-3903
US

IV. Provider business mailing address

20397 PENOLA RD
RUTHER GLEN VA
22546-3903
US

V. Phone/Fax

Practice location:
  • Phone: 804-517-8511
  • Fax:
Mailing address:
  • Phone: 804-517-8511
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code163WD0400X
TaxonomyDiabetes Educator Registered Nurse
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code163WM0102X
TaxonomyMaternal Newborn Registered Nurse
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code163WW0101X
TaxonomyAmbulatory Women's Health Care Registered Nurse
License Number
License Number StateNULL
# 5
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number StateNULL

VIII. Authorized Official

Name: ASHLEY CARNEAL
Title or Position: CEO
Credential: RN, NBC-HWC
Phone: 804-517-8511