Provider Demographics
NPI:1356857304
Name:WOODLEY, ASHLEY MARIE (NCC, LPC-MH, RPT)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:MARIE
Last Name:WOODLEY
Suffix:
Gender:F
Credentials:NCC, LPC-MH, RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 N MCKENZIE ST
Mailing Address - Street 2:
Mailing Address - City:LUVERNE
Mailing Address - State:MN
Mailing Address - Zip Code:56156-1335
Mailing Address - Country:US
Mailing Address - Phone:605-770-3179
Mailing Address - Fax:605-271-3956
Practice Address - Street 1:700 S 8TH AVE
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:SD
Practice Address - Zip Code:57005-1772
Practice Address - Country:US
Practice Address - Phone:605-582-4722
Practice Address - Fax:605-271-3956
Is Sole Proprietor?:No
Enumeration Date:2017-12-28
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106S00000X
SDLPC-MH30674101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician