Provider Demographics
NPI:1063064806
Name:ELKINS, ASHLEY P
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:P
Last Name:ELKINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:318 MARION ST
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29730-5235
Mailing Address - Country:US
Mailing Address - Phone:803-543-5025
Mailing Address - Fax:
Practice Address - Street 1:1477 EBENEZER RD STE A
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-2338
Practice Address - Country:US
Practice Address - Phone:839-235-0003
Practice Address - Fax:803-887-4882
Is Sole Proprietor?:No
Enumeration Date:2019-07-11
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC7131101YP2500X
101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional