Healthcare Provider Details

I. General information

NPI: 1902233927
Provider Name (Legal Business Name): ASHLEIGH LLEWAYNE ZOLNINGER CHURCH LPC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2013
Last Update Date: 10/04/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 W FLEMING DR STE C
MORGANTON NC
28655-3966
US

IV. Provider business mailing address

PO BOX 2423
MORGANTON NC
28680-2423
US

V. Phone/Fax

Practice location:
  • Phone: 828-438-6218
  • Fax:
Mailing address:
  • Phone: 828-243-8621
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberA10487
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: