Provider Demographics
NPI:1437765310
Name:GRIER, ASHLEY YAVONNE (LCPC)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:YAVONNE
Last Name:GRIER
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:YAVONNE
Other - Last Name:ADOKO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCPC
Mailing Address - Street 1:1125 WEST ST STE 200
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-4279
Mailing Address - Country:US
Mailing Address - Phone:240-353-7084
Mailing Address - Fax:
Practice Address - Street 1:1125 WEST ST STE 200
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-4279
Practice Address - Country:US
Practice Address - Phone:240-353-7084
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-16
Last Update Date:2024-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGP10824101YP2500X
MDLC12967101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty