Provider Demographics
NPI:1124861588
Name:PARR, ASHLEY NICHOLE (LMSW)
Entity type:Individual
Prefix:MS
First Name:ASHLEY
Middle Name:NICHOLE
Last Name:PARR
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1456 STATE HIGHWAY 134 E
Mailing Address - Street 2:
Mailing Address - City:HEADLAND
Mailing Address - State:AL
Mailing Address - Zip Code:36345-8518
Mailing Address - Country:US
Mailing Address - Phone:334-360-0477
Mailing Address - Fax:
Practice Address - Street 1:9283 W US 84
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:AL
Practice Address - Zip Code:36352-8207
Practice Address - Country:US
Practice Address - Phone:334-692-4455
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-14
Last Update Date:2024-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL5842G104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker