Healthcare Provider Details

I. General information

NPI: 1174962724
Provider Name (Legal Business Name): ASHLEY D RANSLEY LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/17/2013
Last Update Date: 08/12/2022
Certification Date: 08/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2466 NORMANDY DR SE APT 211D
GRAND RAPIDS MI
49506-5489
US

IV. Provider business mailing address

2466 NORMANDY DR SE APT 211D
GRAND RAPIDS MI
49506-5489
US

V. Phone/Fax

Practice location:
  • Phone: 616-304-3827
  • Fax:
Mailing address:
  • Phone: 616-304-3827
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801095628
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801114850
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: