Provider Demographics
NPI:1033009378
Name:BALLANCIER, ASHLEY KING (LMHP-R)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:KING
Last Name:BALLANCIER
Suffix:
Gender:F
Credentials:LMHP-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15111 ELLICOTT DR APT 207
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23114-6840
Mailing Address - Country:US
Mailing Address - Phone:347-608-7406
Mailing Address - Fax:
Practice Address - Street 1:9211 FOREST HILL AVE STE 204
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23235-6877
Practice Address - Country:US
Practice Address - Phone:347-608-7406
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-08
Last Update Date:2025-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health