Provider Demographics
NPI:1336719533
Name:DI MEO, ASHLEY LOUISE
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:LOUISE
Last Name:DI MEO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1433
Mailing Address - Street 2:
Mailing Address - City:BENNINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05201-1433
Mailing Address - Country:US
Mailing Address - Phone:971-802-1724
Mailing Address - Fax:971-626-4928
Practice Address - Street 1:144 BIRCH ROAD
Practice Address - Street 2:
Practice Address - City:WOODFORD
Practice Address - State:VT
Practice Address - Zip Code:05201
Practice Address - Country:US
Practice Address - Phone:971-802-1724
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-29
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC8921101YP2500X
101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional