Provider Demographics
NPI:1326637489
Name:NOLEN, ASHLYN L (BSW)
Entity Type:Individual
Prefix:
First Name:ASHLYN
Middle Name:L
Last Name:NOLEN
Suffix:
Gender:F
Credentials:BSW
Other - Prefix:
Other - First Name:ASHLYN
Other - Middle Name:L
Other - Last Name:VANDIVER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSW
Mailing Address - Street 1:1316 SOMERVILLE RD SE STE 1
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:AL
Mailing Address - Zip Code:35601-4309
Mailing Address - Country:US
Mailing Address - Phone:256-260-7361
Mailing Address - Fax:256-355-6092
Practice Address - Street 1:295 HOSPITAL ST
Practice Address - Street 2:
Practice Address - City:MOULTON
Practice Address - State:AL
Practice Address - Zip Code:35650-1210
Practice Address - Country:US
Practice Address - Phone:256-974-6697
Practice Address - Fax:256-355-6092
Is Sole Proprietor?:No
Enumeration Date:2021-01-13
Last Update Date:2022-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health