Provider Demographics
NPI:1467842906
Name:STAFFORD, ASHLEY (LMHC)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:STAFFORD
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 PHINNEY LN
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02360-5242
Mailing Address - Country:US
Mailing Address - Phone:774-269-2945
Mailing Address - Fax:508-433-1871
Practice Address - Street 1:3 MARKET XING
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02360-7841
Practice Address - Country:US
Practice Address - Phone:774-269-2945
Practice Address - Fax:508-433-1871
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-04
Last Update Date:2020-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health