Mahaly H Ashley, CACI

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Calhoun, GA

NPI 1346856853 · NPPES record last updated Sep 21, 2020

Key facts

NPI
1346856853
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
3127 (GA)
Practice address
367 Richardson Rd
Calhoun, GA 30701
Phone
(762) 204-2451
Fax
(762) 204-2294
NPI assigned
Sep 21, 2020
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
3127GAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Treatment Center of Calhoun, PC Current
since Jan 2, 2022
Accepting new patients

Locations

367 Richardson Rd SE
Calhoun, GA 30701
Phone (762) 204-2451

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 3127 GA Yes

Addresses

Primary practice location

367 Richardson Rd
Calhoun, GA 30701

Mailing address

367 Richardson Rd
Calhoun, GA 30701
Phone (762) 204-2451

Other providers in Calhoun, GA

All providers in Calhoun, GA · Addiction (Substance Use Disorder) Counselor in Georgia

Sources for this page

Verify at the official NPI Registry.