Provider Demographics
NPI:1487041828
Name:BALL, ASHLEY INEZ (LMFT)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:INEZ
Last Name:BALL
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3611 DOCK POINT ARCH
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23321-3186
Mailing Address - Country:US
Mailing Address - Phone:636-697-2933
Mailing Address - Fax:
Practice Address - Street 1:128 E OLIN AVE
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53713-1467
Practice Address - Country:US
Practice Address - Phone:608-316-1180
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-23
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1115-124106H00000X
NC10418106H00000X
UT13464643-3902106H00000X
VA0717001840106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist