Provider Demographics
NPI:1639412828
Name:MILLER, ASHLEY SCHENK (LPCA)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:SCHENK
Last Name:MILLER
Suffix:
Gender:F
Credentials:LPCA
Other - Prefix:MRS
Other - First Name:ASHLEY
Other - Middle Name:SCHENK
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPCA
Mailing Address - Street 1:1190 SMITHWOOD LN
Mailing Address - Street 2:
Mailing Address - City:HICKORY GROVE
Mailing Address - State:SC
Mailing Address - Zip Code:29717-7790
Mailing Address - Country:US
Mailing Address - Phone:803-417-0892
Mailing Address - Fax:
Practice Address - Street 1:350 PEE DEE AVE
Practice Address - Street 2:SUITE A
Practice Address - City:ALBEMARLE
Practice Address - State:NC
Practice Address - Zip Code:28001-4932
Practice Address - Country:US
Practice Address - Phone:704-986-1561
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-05
Last Update Date:2013-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA10109101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health