Healthcare Provider Details

I. General information

NPI: 1255990834
Provider Name (Legal Business Name): ASHLEY RINEHART
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/07/2019
Last Update Date: 06/07/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1063 MAPLE DR STE 1
MORGANTOWN WV
26505-0387
US

IV. Provider business mailing address

1063 MAPLE DR STE 1
MORGANTOWN WV
26505-0387
US

V. Phone/Fax

Practice location:
  • Phone: 304-599-5751
  • Fax:
Mailing address:
  • Phone: 304-599-5751
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number530
License Number StateWV
# 2
Primary TaxonomyN
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: