Provider Demographics
NPI:1194134619
Name:ASHWAY, DEBORAH (MS, LCMHC, LCAS)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:
Last Name:ASHWAY
Suffix:
Gender:F
Credentials:MS, LCMHC, LCAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:261 GOOSE CREEK RD
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28562-3667
Mailing Address - Country:US
Mailing Address - Phone:252-658-0565
Mailing Address - Fax:252-634-9332
Practice Address - Street 1:790 CARDINAL RD
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28562-5202
Practice Address - Country:US
Practice Address - Phone:252-658-0565
Practice Address - Fax:252-634-9332
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-08
Last Update Date:2021-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLCAS-20787101YA0400X
NC11054101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)