Provider Demographics
NPI:1174987994
Name:HICKS, ASHTON (LPC, LCAS, NCC)
Entity type:Individual
Prefix:
First Name:ASHTON
Middle Name:
Last Name:HICKS
Suffix:
Gender:F
Credentials:LPC, LCAS, NCC
Other - Prefix:
Other - First Name:ASHTON
Other - Middle Name:
Other - Last Name:EVERHART
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC, LCAS, NCC
Mailing Address - Street 1:7000 CROSS HOOK CT
Mailing Address - Street 2:
Mailing Address - City:SUMMERFIELD
Mailing Address - State:NC
Mailing Address - Zip Code:27358-9507
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7000 CROSS HOOK CT
Practice Address - Street 2:
Practice Address - City:SUMMERFIELD
Practice Address - State:NC
Practice Address - Zip Code:27358-9507
Practice Address - Country:US
Practice Address - Phone:336-601-6374
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-07
Last Update Date:2018-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLCAS-22522101YA0400X
NC12213101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional