Basic Information
| Provider Information | |||||||||
| NPI: | 1205217544 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ASCHOFF | ||||||||
| FirstName: | HOLLY | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | LMSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 291 SAWKILL RD | ||||||||
| Address2: | |||||||||
| City: | MILFORD | ||||||||
| State: | PA | ||||||||
| PostalCode: | 183377103 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5702208743 | ||||||||
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| Practice Location | |||||||||
| Address1: | 17 SUSSEX ST | ||||||||
| Address2: | |||||||||
| City: | PORT JERVIS | ||||||||
| State: | NY | ||||||||
| PostalCode: | 127712430 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8458566344 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/12/2015 | ||||||||
| LastUpdateDate: | 06/12/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | 087867 | NY | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health | 101YM0800X | 44SL05796600 | NJ | N | Behavioral Health & Social Service Providers | Counselor | Mental Health | 106H00000X | SW129813 | PA | N | Behavioral Health & Social Service Providers | Marriage & Family Therapist |
No ID Information.