Provider Demographics
NPI:1619411840
Name:THERING, ASHLEY N (LMSW, QMHP, CMHP)
Entity Type:Individual
Prefix:MISS
First Name:ASHLEY
Middle Name:N
Last Name:THERING
Suffix:
Gender:F
Credentials:LMSW, QMHP, CMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4117 ELIZABETH ST
Mailing Address - Street 2:
Mailing Address - City:ROSEBUSH
Mailing Address - State:MI
Mailing Address - Zip Code:48878-5001
Mailing Address - Country:US
Mailing Address - Phone:989-506-8001
Mailing Address - Fax:
Practice Address - Street 1:301 S CRAPO ST
Practice Address - Street 2:STE. 100
Practice Address - City:MT PLEASANT
Practice Address - State:MI
Practice Address - Zip Code:48858-2941
Practice Address - Country:US
Practice Address - Phone:989-772-5938
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-07
Last Update Date:2021-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6802088121104100000X
MI68011137661041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker