Anderson, Ashley B

Anderson, Ashley B is an sole proprietor health care provider with primary practice located at 557 Grants Ferry Rd , Brandon MS 39047-9023. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Anderson, Ashley B can be contacted via phone (601) 665-4162.

Contact Information

Primary practice address
557 Grants Ferry Rd Brandon MS 39047-9023
Phone: (601) 665-4162
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X M7921 Mississippi
Behavioral Health & Social Service Providers / Clinical 1041C0700X C7921 Mississippi

Profile Details

NPI number 1861835282
LBN Legal business name Anderson, Ashley B
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 16th, 2013
Last updated Mar 2nd, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861835282 NPPES
Mississippi MEDICAID 09423034

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