Provider Demographics
NPI:1699919274
Name:CYR, ASHLEY ANNA (LCSW)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:ANNA
Last Name:CYR
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:ANNA
Other - Last Name:ORVEK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:P-LCSW
Mailing Address - Street 1:300 VEAZEY DRIVE
Mailing Address - Street 2:
Mailing Address - City:BUTNER
Mailing Address - State:NC
Mailing Address - Zip Code:27509
Mailing Address - Country:US
Mailing Address - Phone:919-764-2362
Mailing Address - Fax:919-764-5868
Practice Address - Street 1:300 VEAZEY DRIVE
Practice Address - Street 2:
Practice Address - City:BUTNER
Practice Address - State:NC
Practice Address - Zip Code:27509
Practice Address - Country:US
Practice Address - Phone:919-764-2362
Practice Address - Fax:919-764-5868
Is Sole Proprietor?:No
Enumeration Date:2009-04-27
Last Update Date:2013-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0075501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical