Provider Demographics
NPI:1902190911
Name:NORRED POWELL, ASHLEY (LPC)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:NORRED POWELL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2991 PARK ST
Mailing Address - Street 2:
Mailing Address - City:EAST POINT
Mailing Address - State:GA
Mailing Address - Zip Code:30344-4109
Mailing Address - Country:US
Mailing Address - Phone:770-596-6339
Mailing Address - Fax:
Practice Address - Street 1:514 W BANKHEAD HWY STE 100
Practice Address - Street 2:
Practice Address - City:VILLA RICA
Practice Address - State:GA
Practice Address - Zip Code:30180-1737
Practice Address - Country:US
Practice Address - Phone:678-941-3868
Practice Address - Fax:678-941-3217
Is Sole Proprietor?:No
Enumeration Date:2011-06-07
Last Update Date:2019-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LPC010908101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional