Provider Demographics
NPI:1568495737
Name:EVERHART, ASHLEY LEIGH (LPC)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:LEIGH
Last Name:EVERHART
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:141 MARSH RABBIT DR
Mailing Address - Street 2:
Mailing Address - City:MYRTLE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29588-8478
Mailing Address - Country:US
Mailing Address - Phone:843-254-8585
Mailing Address - Fax:843-215-4561
Practice Address - Street 1:9403 HIGHWAY 707
Practice Address - Street 2:SUITE B
Practice Address - City:MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29588-7758
Practice Address - Country:US
Practice Address - Phone:843-685-8716
Practice Address - Fax:843-215-4561
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-09
Last Update Date:2011-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor