Provider Demographics
NPI:1104217496
Name:PACE, ASHLEY (CMHC)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:PACE
Suffix:
Gender:F
Credentials:CMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:982 E LOST RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:UT
Mailing Address - Zip Code:84780-8189
Mailing Address - Country:US
Mailing Address - Phone:435-691-1365
Mailing Address - Fax:
Practice Address - Street 1:1240 E 100 S STE 204
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84790-3077
Practice Address - Country:US
Practice Address - Phone:435-691-1365
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-09
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT9270168-6009101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health