Healthcare Provider Details

I. General information

NPI: 1295419760
Provider Name (Legal Business Name): ASHLEY MAE PRICE PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2023
Last Update Date: 09/02/2025
Certification Date: 09/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 LOGAN ST STE A
WILLIAMSON WV
25661-3606
US

IV. Provider business mailing address

PO BOX 432
PIKEVILLE KY
41502-0432
US

V. Phone/Fax

Practice location:
  • Phone: 304-236-5902
  • Fax: 304-909-3174
Mailing address:
  • Phone: 606-430-2256
  • Fax: 606-218-6577

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number4001309
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number118920
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: