Provider Demographics
NPI:1326564220
Name:WHITFIELD, ASHLEY HARRIS (LPC)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:HARRIS
Last Name:WHITFIELD
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:951 CLEVELAND AVE
Mailing Address - Street 2:
Mailing Address - City:GULFPORT
Mailing Address - State:MS
Mailing Address - Zip Code:39507-3330
Mailing Address - Country:US
Mailing Address - Phone:404-663-7822
Mailing Address - Fax:
Practice Address - Street 1:951 CLEVELAND AVE
Practice Address - Street 2:
Practice Address - City:GULFPORT
Practice Address - State:MS
Practice Address - Zip Code:39507-3330
Practice Address - Country:US
Practice Address - Phone:404-663-7822
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-22
Last Update Date:2020-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC009757101Y00000X, 101YM0800X, 101YP2500X
MS2571101Y00000X, 101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health