Provider Demographics
NPI:1851057376
Name:GARNETT, ASHLEY (LCMHC, LCAS-A)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:GARNETT
Suffix:
Gender:F
Credentials:LCMHC, LCAS-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2444 COMMERCE RD STE 120
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28546-7561
Mailing Address - Country:US
Mailing Address - Phone:910-787-1688
Mailing Address - Fax:
Practice Address - Street 1:2444 COMMERCE RD STE 120
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28546-7561
Practice Address - Country:US
Practice Address - Phone:910-787-1688
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-09
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLCAS-27694101YA0400X
NC17190101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)