Basic Information
| Provider Information | |||||||||
| NPI: | 1740865468 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ASHBY | ||||||||
| FirstName: | VALERIE | ||||||||
| MiddleName: | MARION | ||||||||
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| Mailing Information | |||||||||
| Address1: | 30331 ARNOLD RD | ||||||||
| Address2: | |||||||||
| City: | WILLOWICK | ||||||||
| State: | OH | ||||||||
| PostalCode: | 440954910 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4406228660 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3401 ENTERPRISE PKWY STE 250 | ||||||||
| Address2: | |||||||||
| City: | BEACHWOOD | ||||||||
| State: | OH | ||||||||
| PostalCode: | 441227343 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2167650500 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/15/2021 | ||||||||
| LastUpdateDate: | 03/15/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 03/15/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YP2500X | C.2002796 | OH | Y | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.