Healthcare Provider Details

I. General information

NPI: 1306740626
Provider Name (Legal Business Name): ASHLEY NICOLE CHANEY NODD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1924 DAUPHIN ISLAND PKWY
MOBILE AL
36605-3004
US

IV. Provider business mailing address

6870 CHING LYNCH RD
MOBILE AL
36618-4485
US

V. Phone/Fax

Practice location:
  • Phone: 251-476-5733
  • Fax:
Mailing address:
  • Phone: 251-644-9650
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: