Provider Demographics
NPI:1013544360
Name:SMITH, ASHLEY WHITNEY (LPC)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:WHITNEY
Last Name:SMITH
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:PO BOX 34
Mailing Address - Street 2:
Mailing Address - City:SOCIAL CIRCLE
Mailing Address - State:GA
Mailing Address - Zip Code:30025-0034
Mailing Address - Country:US
Mailing Address - Phone:678-463-3329
Mailing Address - Fax:
Practice Address - Street 1:834 HIGHWAY 11 SW
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:GA
Practice Address - Zip Code:30655-6036
Practice Address - Country:US
Practice Address - Phone:770-267-8302
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-26
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC009553101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional