Provider Demographics
NPI:1184362139
Name:CALHOUN, ASHLEY (LPC, NCC)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:CALHOUN
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1930 HARVARD AVE
Mailing Address - Street 2:
Mailing Address - City:COLLEGE PARK
Mailing Address - State:GA
Mailing Address - Zip Code:30337-3510
Mailing Address - Country:US
Mailing Address - Phone:470-394-5759
Mailing Address - Fax:
Practice Address - Street 1:1930 HARVARD AVE
Practice Address - Street 2:
Practice Address - City:COLLEGE PARK
Practice Address - State:GA
Practice Address - Zip Code:30337-3510
Practice Address - Country:US
Practice Address - Phone:470-394-5759
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-20
Last Update Date:2022-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC012601101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional