Provider Demographics
NPI:1245761535
Name:HOOVER, ASHLEY LAVETTE (MS, LPC, LCAS-A)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:LAVETTE
Last Name:HOOVER
Suffix:
Gender:F
Credentials:MS, LPC, LCAS-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9121 TROON LN UNIT B
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28214-2192
Mailing Address - Country:US
Mailing Address - Phone:608-346-9942
Mailing Address - Fax:
Practice Address - Street 1:1810 BACK CREEK DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28213-2159
Practice Address - Country:US
Practice Address - Phone:608-346-9942
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-27
Last Update Date:2024-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLCAS-28649101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)