Provider Demographics
NPI:1093115164
Name:GUILD, ASHLEIGH EVELYN (LMSW-CC)
Entity Type:Individual
Prefix:
First Name:ASHLEIGH
Middle Name:EVELYN
Last Name:GUILD
Suffix:
Gender:F
Credentials:LMSW-CC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:306 RODMAN RD
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:ME
Mailing Address - Zip Code:04210-3830
Mailing Address - Country:US
Mailing Address - Phone:207-795-4190
Mailing Address - Fax:207-333-3037
Practice Address - Street 1:156 EAST AVE
Practice Address - Street 2:
Practice Address - City:LEWISTON
Practice Address - State:ME
Practice Address - Zip Code:04240-5626
Practice Address - Country:US
Practice Address - Phone:207-795-4190
Practice Address - Fax:207-333-3037
Is Sole Proprietor?:No
Enumeration Date:2014-08-26
Last Update Date:2014-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEMC148641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical