Provider Demographics
NPI:1225583594
Name:WARD, ASHLEY LAW (MED, NCC)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:LAW
Last Name:WARD
Suffix:
Gender:F
Credentials:MED, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 PRINCETON PLACE DR
Mailing Address - Street 2:
Mailing Address - City:ADAIRSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30103-2647
Mailing Address - Country:US
Mailing Address - Phone:706-346-7745
Mailing Address - Fax:706-528-4212
Practice Address - Street 1:701 E 2ND AVE SW
Practice Address - Street 2:SUITE A
Practice Address - City:ROME
Practice Address - State:GA
Practice Address - Zip Code:30161-6148
Practice Address - Country:US
Practice Address - Phone:706-553-1117
Practice Address - Fax:706-528-4212
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-16
Last Update Date:2016-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor