Provider Demographics
NPI:1568936342
Name:GRUBBS, ASHLEY TAYLOR (LPC)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:TAYLOR
Last Name:GRUBBS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:841 HOLBROOK DR
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23602-8919
Mailing Address - Country:US
Mailing Address - Phone:214-923-1259
Mailing Address - Fax:
Practice Address - Street 1:841 HOLBROOK DR
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23602-8919
Practice Address - Country:US
Practice Address - Phone:214-923-1259
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-15
Last Update Date:2019-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX78628101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health