Provider Demographics
NPI:1215771407
Name:MILLER, ASHTON ELIZABETH (MS- LGCP)
Entity type:Individual
Prefix:MS
First Name:ASHTON
Middle Name:ELIZABETH
Last Name:MILLER
Suffix:
Gender:F
Credentials:MS- LGCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:322 E ANTIETAM ST STE 307A
Mailing Address - Street 2:
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21740-5750
Mailing Address - Country:US
Mailing Address - Phone:240-513-6127
Mailing Address - Fax:
Practice Address - Street 1:322 E ANTIETAM ST STE 307A
Practice Address - Street 2:
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21740-5750
Practice Address - Country:US
Practice Address - Phone:240-513-6127
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-21
Last Update Date:2024-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGP15223101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health