Healthcare Provider Details

I. General information

NPI: 1043712607
Provider Name (Legal Business Name): ASHLEY M SUMNER LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/28/2018
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8614 WESTWOOD CENTER DR STE 710
VIENNA VA
22182-2451
US

IV. Provider business mailing address

8614 WESTWOOD CENTER DR STE 710
VIENNA VA
22182-2451
US

V. Phone/Fax

Practice location:
  • Phone: 844-863-4621
  • Fax: 703-665-7686
Mailing address:
  • Phone: 844-863-4621
  • Fax: 703-665-7686

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701006116
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: