Healthcare Provider Details

I. General information

NPI: 1932025103
Provider Name (Legal Business Name): ASHTON SELLERS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 TROLLINGWOOD WAY
PELZER SC
29669-9440
US

IV. Provider business mailing address

102 AMERICAN LEGION RD
GREER SC
29651-1304
US

V. Phone/Fax

Practice location:
  • Phone: 864-518-7759
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: