Provider Demographics
NPI:1396449815
Name:ASHLAND, AVILA
Entity type:Individual
Prefix:
First Name:AVILA
Middle Name:
Last Name:ASHLAND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 N RIDGE DR APT C
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28804-2135
Mailing Address - Country:US
Mailing Address - Phone:619-643-2113
Mailing Address - Fax:
Practice Address - Street 1:104 N RIDGE DR APT C
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28804-2135
Practice Address - Country:US
Practice Address - Phone:619-643-2113
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-28
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker