Provider Demographics
NPI:1356996664
Name:ASHLEY A BORGATTA LCSW
Entity type:Organization
Organization Name:ASHLEY A BORGATTA LCSW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:MOSER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:484-332-0565
Mailing Address - Street 1:1409 GARDEN LN
Mailing Address - Street 2:
Mailing Address - City:WYOMISSING
Mailing Address - State:PA
Mailing Address - Zip Code:19610-2503
Mailing Address - Country:US
Mailing Address - Phone:484-332-0565
Mailing Address - Fax:
Practice Address - Street 1:1103 ROCKY RD STE 202
Practice Address - Street 2:
Practice Address - City:WEST LAWN
Practice Address - State:PA
Practice Address - Zip Code:19609-1166
Practice Address - Country:US
Practice Address - Phone:484-663-4620
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-04
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)