MEDICARE: ASHLEY VOID PH.D. LGPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	LGP16530	MD

General Provider Information

NPI Number	:	1023940863
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY VOID PH.D. LGPC

Provider Business Mailing Address
First Line	:	6309 LIBERIA ST
Second Line	:
City	:	CAPITOL HEIGHTS
State	:	MD
Zip	:	20743-1868
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6309 LIBERIA ST
Second Line	:
City	:	CAPITOL HEIGHTS
State	:	MD
Zip	:	20743-1868
Country	:	US
Telephone Number	:	202-297-4444
Fax Number	:	202-297-4444

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2026
Last Update Date	:	06/03/2026

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