Provider Demographics
NPI:1225713126
Name:ASHLEY G DONALDSON PA
Entity Type:Organization
Organization Name:ASHLEY G DONALDSON PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:G
Authorized Official - Last Name:DONALDSON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:479-335-5747
Mailing Address - Street 1:910 S ROGERS ST., STE E
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72830-4331
Mailing Address - Country:US
Mailing Address - Phone:479-335-5747
Mailing Address - Fax:479-957-9083
Practice Address - Street 1:910 S ROGERS ST STE E
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:AR
Practice Address - Zip Code:72830-4331
Practice Address - Country:US
Practice Address - Phone:479-335-5747
Practice Address - Fax:479-957-9083
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-19
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty