Provider Demographics
NPI:1912210030
Name:HARRIS, ASHLEE LAUREN (LCMHC NCC)
Entity Type:Individual
Prefix:
First Name:ASHLEE
Middle Name:LAUREN
Last Name:HARRIS
Suffix:
Gender:F
Credentials:LCMHC NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 CENTERVIEW DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27407-3717
Mailing Address - Country:US
Mailing Address - Phone:336-297-9009
Mailing Address - Fax:336-297-0062
Practice Address - Street 1:1708 S MEBANE ST STE 101
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-6590
Practice Address - Country:US
Practice Address - Phone:336-447-0229
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-18
Last Update Date:2021-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7941101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional