Provider Demographics
NPI:1710415948
Name:FRANK, ASHELY N
Entity Type:Individual
Prefix:
First Name:ASHELY
Middle Name:N
Last Name:FRANK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 23079
Mailing Address - Street 2:
Mailing Address - City:HILTON HEAD ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29925-3079
Mailing Address - Country:US
Mailing Address - Phone:843-681-4865
Mailing Address - Fax:843-689-6267
Practice Address - Street 1:151 DILLON RD
Practice Address - Street 2:
Practice Address - City:HILTON HEAD ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29926-3705
Practice Address - Country:US
Practice Address - Phone:843-681-4865
Practice Address - Fax:843-689-6267
Is Sole Proprietor?:No
Enumeration Date:2017-06-01
Last Update Date:2017-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC3335Medicaid
SC421504OtherMEDICARE PIN