Ashley Chantelle Brickhouse
Day Training, Developmentally Disabled Services in Norfolk, VA. Individual provider (NPI-1).
NPI number1912655119
StatusActive
Last updated in NPPESMar 16, 2022
Details
- NPI
- 1912655119
- Entity type
- Individual (NPI-1)
- Name
- Ashley Chantelle Brickhouse
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 16, 2022
- Certification date
- Mar 16, 2022
- Last updated
- Mar 16, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251C00000X | Day Training, Developmentally Disabled Services | 3900 | VA | Yes |
Practice location
733 Marshall AveNorfolk, VA 23504-3531
Phone 757-337-7396
Mailing address
733 Marshall AveNorfolk, VA 23504-3531
Phone 757-337-7396
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