Provider Demographics
NPI:1508572918
Name:WIGGS, ASHLEY (LPC, ADC)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:WIGGS
Suffix:
Gender:F
Credentials:LPC, ADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 ROCKY BROOK RD
Mailing Address - Street 2:
Mailing Address - City:OPELIKA
Mailing Address - State:AL
Mailing Address - Zip Code:36801-2430
Mailing Address - Country:US
Mailing Address - Phone:252-567-7533
Mailing Address - Fax:
Practice Address - Street 1:318 N COLLEGE ST STE C
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36830-3815
Practice Address - Country:US
Practice Address - Phone:334-246-1353
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-30
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4273101YM0800X
ALADC-928101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health