Provider Demographics
NPI:1932238532
Name:BRATCHER, ASHLEY (LISW-CP)
Entity Type:Individual
Prefix:MS
First Name:ASHLEY
Middle Name:
Last Name:BRATCHER
Suffix:
Gender:F
Credentials:LISW-CP
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:LYNN
Other - Last Name:DELUCENAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CMSW
Mailing Address - Street 1:198 OKATIE VILLAGE DR STE 103-332
Mailing Address - Street 2:
Mailing Address - City:OKATIE
Mailing Address - State:SC
Mailing Address - Zip Code:29909-7527
Mailing Address - Country:US
Mailing Address - Phone:843-321-7107
Mailing Address - Fax:843-326-4806
Practice Address - Street 1:26 HEARTWOOD CT
Practice Address - Street 2:
Practice Address - City:BLUFFTON
Practice Address - State:SC
Practice Address - Zip Code:29910-9560
Practice Address - Country:US
Practice Address - Phone:843-321-7107
Practice Address - Fax:843-326-4806
Is Sole Proprietor?:No
Enumeration Date:2007-03-02
Last Update Date:2021-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC94021041C0700X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical