Provider Demographics
NPI:1659967966
Name:SMITH, ASHLEY (LPC, NCC, CCTP, CSAM)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:SMITH
Suffix:
Gender:F
Credentials:LPC, NCC, CCTP, CSAM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:95 UPPER PINCH RD
Mailing Address - Street 2:
Mailing Address - City:ELKVIEW
Mailing Address - State:WV
Mailing Address - Zip Code:25071-9542
Mailing Address - Country:US
Mailing Address - Phone:304-550-6849
Mailing Address - Fax:
Practice Address - Street 1:705 S PARK RD
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25304-2629
Practice Address - Country:US
Practice Address - Phone:304-446-2336
Practice Address - Fax:304-410-0241
Is Sole Proprietor?:No
Enumeration Date:2020-12-21
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X
CO0019321101YP2500X
WV2783101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)