Provider Demographics
NPI:1124345863
Name:BEMIS, ASHLEY DAWN (LMHC)
Entity type:Individual
Prefix:MISS
First Name:ASHLEY
Middle Name:DAWN
Last Name:BEMIS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9623 32ND ST SE
Mailing Address - Street 2:STE A-109
Mailing Address - City:LAKE STEVENS
Mailing Address - State:WA
Mailing Address - Zip Code:98258-5779
Mailing Address - Country:US
Mailing Address - Phone:425-334-1632
Mailing Address - Fax:
Practice Address - Street 1:9623 32ND ST SE
Practice Address - Street 2:STE A-109
Practice Address - City:LAKE STEVENS
Practice Address - State:WA
Practice Address - Zip Code:98258-5779
Practice Address - Country:US
Practice Address - Phone:425-334-1632
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-20
Last Update Date:2014-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
WALH60448396101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health