Healthcare Provider Details

I. General information

NPI: 1033032776
Provider Name (Legal Business Name): ASHLEY SORRELLS JENKINS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

727 LEE HWY STE 103
VERONA VA
24482-2864
US

IV. Provider business mailing address

757 HOWARDSVILLE RD
STAUNTON VA
24401-5745
US

V. Phone/Fax

Practice location:
  • Phone: 540-200-8846
  • Fax: 540-860-4623
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: