Healthcare Provider Details

I. General information

NPI: 1154904423
Provider Name (Legal Business Name): RYANE ASHLY MONTES-TORREY LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2021
Last Update Date: 08/07/2025
Certification Date: 08/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4480 HOLLAND OFFICE PARK STE 222
VIRGINIA BEACH VA
23452-1148
US

IV. Provider business mailing address

3630 GEORGE WASHINGTON MEM HWY STE F1
YORKTOWN VA
23693-3350
US

V. Phone/Fax

Practice location:
  • Phone: 757-241-4407
  • Fax: 757-782-4004
Mailing address:
  • Phone: 757-241-4407
  • Fax: 757-782-4004

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0904012884
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: