Provider Demographics
NPI:1760129902
Name:HARRISON, ASHLYN ARYN
Entity Type:Individual
Prefix:
First Name:ASHLYN
Middle Name:ARYN
Last Name:HARRISON
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 1:1201 S SEMINOLE DR
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37412-1135
Mailing Address - Country:US
Mailing Address - Phone:299-887-7358
Mailing Address - Fax:
Practice Address - Street 1:1201 S SEMINOLE DR
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37412-1135
Practice Address - Country:US
Practice Address - Phone:877-358-2998
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-18
Last Update Date:2022-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health