Provider Demographics
NPI: | 1699371021 |
---|---|
Name: | GRIER, ASHLEY |
Entity type: | Individual |
Prefix: | |
First Name: | ASHLEY |
Middle Name: | |
Last Name: | GRIER |
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: | 3325 WASHBURN AVE STE 206 |
Mailing Address - Street 2: | |
Mailing Address - City: | CHARLOTTE |
Mailing Address - State: | NC |
Mailing Address - Zip Code: | 28205-7163 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 704-712-0483 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 3325 WASHBURN AVE STE 206 |
Practice Address - Street 2: | |
Practice Address - City: | CHARLOTTE |
Practice Address - State: | NC |
Practice Address - Zip Code: | 28205-7163 |
Practice Address - Country: | US |
Practice Address - Phone: | 704-712-0483 |
Practice Address - Fax: | |
Is Sole Proprietor?: | No |
Enumeration Date: | 2020-12-10 |
Last Update Date: | 2020-12-10 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
NC | 102X00000X, 171M00000X, 173C00000X, 175T00000X, 221700000X, 225600000X, 225A00000X, 246ZA2600X, 372600000X, 374K00000X, 376J00000X | |
172V00000X | ||
NC | 17918 | 2081N0008X, 225700000X |
SC | 11606 | 225700000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 225700000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Massage Therapist | |
No | 102X00000X | Behavioral Health & Social Service Providers | Poetry Therapist | |
No | 171M00000X | Other Service Providers | Case Manager/Care Coordinator | |
No | 172V00000X | Other Service Providers | Community Health Worker | |
No | 173C00000X | Other Service Providers | Reflexologist | |
No | 175T00000X | Other Service Providers | Peer Specialist | |
No | 2081N0008X | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | Neuromuscular Medicine |
No | 221700000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Art Therapist | |
No | 225600000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Dance Therapist | |
No | 225A00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Music Therapist | |
No | 246ZA2600X | Technologists, Technicians & Other Technical Service Providers | Specialist/Technologist, Other | Art, Medical |
No | 372600000X | Nursing Service Related Providers | Adult Companion | |
No | 374K00000X | Nursing Service Related Providers | Religious Nonmedical Practitioner | |
No | 376J00000X | Nursing Service Related Providers | Homemaker |