Healthcare Provider Details

I. General information

NPI: 1487395976
Provider Name (Legal Business Name): ASHLEE FRIAS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ASHLEE FRIAS

II. Dates (important events)

Enumeration Date: 04/06/2022
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 VILLAGE AVE STE 204
YORKTOWN VA
23693-5657
US

IV. Provider business mailing address

700 TECH CENTER PKWY STE 200
NEWPORT NEWS VA
23606-3075
US

V. Phone/Fax

Practice location:
  • Phone: 757-568-5904
  • Fax:
Mailing address:
  • Phone: 757-381-6938
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0904017772
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0906012182
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: