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NPI Code Detail

MEDICARE: ASHAY COUNSELING AGENCY

MEDICARE: ASHAY COUNSELING AGENCY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1093479750
Entity Type Code : Organization
Provider Name (Legal Business Name) : ASHAY COUNSELING AGENCY
Provider Business Mailing Address
First Line : 398 FLORENCE DR
Second Line :
City : CLAYTON
State : NC
Zip : 27527-9249
Country : US
Telephone Number : 919-333-1742
Fax Number :
Provider Business Practice Location Address
First Line : 398 FLORENCE DR
Second Line :
City : CLAYTON
State : NC
Zip : 27527-9249
Country : US
Telephone Number : 919-333-1742
Fax Number : 919-516-9756
Authorized Official
Title or Position : CEO/CLINICAL SUPERVISOR
Name : FAKIRA WAHID
Credential : LCMHCA
Telephone Number : 919-333-1742
Provider Enumeration Date : 10/27/2021
Last Update Date : 10/27/2021

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Directions to “ASHAY COUNSELING AGENCY ” Practice Location

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