Provider Demographics
NPI:1588428213
Name:FIELDS, ASHLEY HIATT (MA, LCMHCA)
Entity type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:HIATT
Last Name:FIELDS
Suffix:
Gender:F
Credentials:MA, LCMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:162 LIMERICK RD UNIT A
Mailing Address - Street 2:
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28115-0018
Mailing Address - Country:US
Mailing Address - Phone:559-455-7115
Mailing Address - Fax:
Practice Address - Street 1:162 LIMERICK RD UNIT A
Practice Address - Street 2:
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28115-0018
Practice Address - Country:US
Practice Address - Phone:559-455-7115
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-13
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA18921101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health