Healthcare Provider Details

I. General information

NPI: 1750160032
Provider Name (Legal Business Name): ASHLEE CANTRELL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/26/2023
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 THE PKWY STE K
GREER SC
29650-5205
US

IV. Provider business mailing address

420 THE PKWY STE K
GREER SC
29650-5205
US

V. Phone/Fax

Practice location:
  • Phone: 864-772-3315
  • Fax:
Mailing address:
  • Phone: 864-772-3315
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number11718
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: