Provider Demographics
NPI:1285144329
Name:BECK, ASHLEY MADELINE
Entity type:Individual
Prefix:MISS
First Name:ASHLEY
Middle Name:MADELINE
Last Name:BECK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 HOLLYFAX CIR
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328-5706
Mailing Address - Country:US
Mailing Address - Phone:901-651-1955
Mailing Address - Fax:
Practice Address - Street 1:231 COLLEGE ST
Practice Address - Street 2:
Practice Address - City:COLLIERVILLE
Practice Address - State:TN
Practice Address - Zip Code:38017-2602
Practice Address - Country:US
Practice Address - Phone:901-651-1955
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-03
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health