Provider Demographics
NPI:1689101032
Name:WORLEY, ASHLEY S (LPCA)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:S
Last Name:WORLEY
Suffix:
Gender:F
Credentials:LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14943 LONG BOW LN
Mailing Address - Street 2:
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-3310
Mailing Address - Country:US
Mailing Address - Phone:704-578-0380
Mailing Address - Fax:
Practice Address - Street 1:1915 CODDLE CREEK HWY
Practice Address - Street 2:
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28115-8248
Practice Address - Country:US
Practice Address - Phone:704-763-3796
Practice Address - Fax:704-763-3796
Is Sole Proprietor?:No
Enumeration Date:2017-05-16
Last Update Date:2017-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA12995101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional