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Provider Information for 1326564220


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ASHLEY HARRIS WHITFIELD LPC


Sex: Female

NPI: 1326564220
Last Updated: 2020-03-23
Certification Date: 2020-03-23

Details

NameValue
NPI1326564220
Enumeration Date2017-08-22
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 951 CLEVELAND AVE
GULFPORT, MS 39507-3330
United States

Phone: 404-663-7822 | Fax:
 
Primary Practice Address 951 CLEVELAND AVE
GULFPORT, MS 39507-3330
United States

Phone: 404-663-7822 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 101Y00000X - Counselor GALPC009757
No 101Y00000X - Counselor MS2571
No 101YM0800X - Counselor - Mental HealthMS2571
No 101YM0800X - Counselor - Mental HealthGALPC009757
No 101YP2500X - Counselor - ProfessionalGALPC009757
Yes 101YP2500X - Counselor - ProfessionalMS2571