Provider Demographics
NPI:1629962493
Name:CARTER, ASHLEY BOWMAN (MA, LCMHCA, NCC)
Entity type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:BOWMAN
Last Name:CARTER
Suffix:
Gender:F
Credentials:MA, LCMHCA, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1115 CANTERBERRY FARM RD
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:NC
Mailing Address - Zip Code:27053-7544
Mailing Address - Country:US
Mailing Address - Phone:336-486-4223
Mailing Address - Fax:
Practice Address - Street 1:235 S CHURCH ST
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27101-5305
Practice Address - Country:US
Practice Address - Phone:336-355-8155
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-05
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health