Provider Demographics
NPI:1013634666
Name:WALAY, ASHLEY GENEVA (LICSW)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:GENEVA
Last Name:WALAY
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:GENEVA
Other - Last Name:COWLING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:3701 LOOP RPAD
Mailing Address - Street 2:
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35404
Mailing Address - Country:US
Mailing Address - Phone:205-544-3808
Mailing Address - Fax:
Practice Address - Street 1:20743 WATERS VW
Practice Address - Street 2:
Practice Address - City:MC CALLA
Practice Address - State:AL
Practice Address - Zip Code:35111-2144
Practice Address - Country:US
Practice Address - Phone:205-899-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-25
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL5662C104100000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL5662COtherASWBE