Provider Demographics
NPI:1891071452
Name:DAVIS, ASHLEE NICHOLE (LPC)
Entity type:Individual
Prefix:MRS
First Name:ASHLEE
Middle Name:NICHOLE
Last Name:DAVIS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:ASHLEE
Other - Middle Name:NICHOLE
Other - Last Name:PEARSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:519 RUFF FERRY RD
Mailing Address - Street 2:
Mailing Address - City:MAYNARD
Mailing Address - State:AR
Mailing Address - Zip Code:72444-9691
Mailing Address - Country:US
Mailing Address - Phone:870-202-0981
Mailing Address - Fax:501-500-5854
Practice Address - Street 1:820 E MATTHEWS AVE STE F
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72401-3081
Practice Address - Country:US
Practice Address - Phone:870-202-9851
Practice Address - Fax:501-500-5854
Is Sole Proprietor?:No
Enumeration Date:2011-10-27
Last Update Date:2024-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP1903029101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional