Ashley Danielle Clay
Individual provider Active NPI Counselor · Tyrone, GA
NPI 1487403671 · NPPES record last updated May 18, 2024
Key facts
- NPI
- 1487403671
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 1015 Tyrone Rd
Tyrone, GA 30290-2407 - Phone
- (770) 468-3326
- NPI assigned
- May 18, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
1015 Tyrone Rd
Tyrone, GA 30290-2407
Mailing address
1375 Highway 92 N
Fayetteville, GA 30214-3379
Phone (678) 925-2519
Other names
- Ashley Danielle Chennault
Other providers in Tyrone, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.