Provider Demographics
NPI:1568192516
Name:WITT, ASHLEY OWEN (LCMHCA)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:OWEN
Last Name:WITT
Suffix:
Gender:F
Credentials:LCMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:212 S BROAD ST STE A
Mailing Address - Street 2:
Mailing Address - City:BREVARD
Mailing Address - State:NC
Mailing Address - Zip Code:28712-3768
Mailing Address - Country:US
Mailing Address - Phone:828-435-3661
Mailing Address - Fax:828-579-2784
Practice Address - Street 1:212 S BROAD ST STE A
Practice Address - Street 2:
Practice Address - City:BREVARD
Practice Address - State:NC
Practice Address - Zip Code:28712-3768
Practice Address - Country:US
Practice Address - Phone:828-435-3661
Practice Address - Fax:828-579-2784
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-13
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA17588101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health