Provider Information for 1811409055
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BEARLYN Y ASH MS, NCC, LPC
Sex: Female
NPI: 1811409055
Last Updated: 2018-12-06
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1811409055 | ||||||||||||
| Enumeration Date | 2017-10-27 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 1720 W END AVE STE 240 NASHVILLE, TN 37203-2609 United States Phone: 615-320-1155 | Fax:615-320-1177 | ||||||||||||
| Primary Practice Address | 1720 W END AVE STE 240 NASHVILLE, TN 37203-2609 United States Phone: 615-320-1155 | Fax:615-320-1177 | ||||||||||||
| Secondary Practice Address(es) | 185 LUNA LN | ||||||||||||
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