Provider Demographics
NPI:1831470988
Name:TRIPP, ASHLEY GODLEY (LMFT-A)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:GODLEY
Last Name:TRIPP
Suffix:
Gender:F
Credentials:LMFT-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1025B DIRECTOR CT
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27858-5996
Mailing Address - Country:US
Mailing Address - Phone:252-531-6613
Mailing Address - Fax:252-215-9012
Practice Address - Street 1:1025B DIRECTOR CT
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27858-5996
Practice Address - Country:US
Practice Address - Phone:252-531-6613
Practice Address - Fax:252-215-9012
Is Sole Proprietor?:No
Enumeration Date:2011-09-02
Last Update Date:2014-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1564106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC25573714OtherDRIVER LICENSE