Provider Demographics
NPI:1164086567
Name:PROWS-BEARD, ASHLEY MECHELLE (MSW, LCSWA)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:MECHELLE
Last Name:PROWS-BEARD
Suffix:
Gender:F
Credentials:MSW, LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4061 PIRATES LANDING DR APT 11
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28312-7077
Mailing Address - Country:US
Mailing Address - Phone:910-739-3064
Mailing Address - Fax:
Practice Address - Street 1:800 N WALNUT ST
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:NC
Practice Address - Zip Code:28358-4832
Practice Address - Country:US
Practice Address - Phone:910-739-3064
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-01
Last Update Date:2019-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0132631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical