Provider Demographics
NPI:1093854697
Name:WATERS, ASHLEY MEIGGS (LCSW- A)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:MEIGGS
Last Name:WATERS
Suffix:
Gender:F
Credentials:LCSW- A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:171 ROYAL TERN WAY
Mailing Address - Street 2:
Mailing Address - City:HERTFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27944-7703
Mailing Address - Country:US
Mailing Address - Phone:615-426-1847
Mailing Address - Fax:
Practice Address - Street 1:171 ROYAL TERN WAY
Practice Address - Street 2:
Practice Address - City:HERTFORD
Practice Address - State:NC
Practice Address - Zip Code:27944-7703
Practice Address - Country:US
Practice Address - Phone:615-426-1847
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2016-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health