Provider Demographics
NPI:1952591984
Name:ASHE COUNTY SOCIAL SERVICES
Entity Type:Organization
Organization Name:ASHE COUNTY SOCIAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE ASSISTANT
Authorized Official - Prefix:MS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:M
Authorized Official - Last Name:HARLESS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-219-2704
Mailing Address - Street 1:150 GOVERNMENT CIR
Mailing Address - Street 2:SUITE 1400
Mailing Address - City:JEFFERSON
Mailing Address - State:NC
Mailing Address - Zip Code:28640-9377
Mailing Address - Country:US
Mailing Address - Phone:336-219-2700
Mailing Address - Fax:336-219-2762
Practice Address - Street 1:150 GOVERNMENT CIR
Practice Address - Street 2:SUITE 1400
Practice Address - City:JEFFERSON
Practice Address - State:NC
Practice Address - Zip Code:28640-9377
Practice Address - Country:US
Practice Address - Phone:336-219-2700
Practice Address - Fax:336-219-2762
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-26
Last Update Date:2007-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8700047Medicaid