Provider Demographics
NPI:1467084285
Name:DIMMICK, ASHLYN (LPC)
Entity Type:Individual
Prefix:
First Name:ASHLYN
Middle Name:
Last Name:DIMMICK
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:ASHLYN
Other - Middle Name:
Other - Last Name:BRONG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9023 FOREST HILL AVE STE 2A
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23235-3054
Mailing Address - Country:US
Mailing Address - Phone:804-837-1511
Mailing Address - Fax:
Practice Address - Street 1:9023 FOREST HILL AVE STE 2A
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23235-3054
Practice Address - Country:US
Practice Address - Phone:804-416-5052
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-10
Last Update Date:2022-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health