Healthcare Provider Details

I. General information

NPI: 1386563443
Provider Name (Legal Business Name): MRS. ASHLEY MICHELLE PAUL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 06/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7040 PEAKE RD N SUITE 26213
MACON GA
31210-9998
US

IV. Provider business mailing address

7040 PEAKE RD N SUITE 26213
MACON GA
31210-9998
US

V. Phone/Fax

Practice location:
  • Phone: 478-227-4174
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC016256
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: