Provider Demographics
NPI:1174417646
Name:MCCAIN, ASHELEA
Entity type:Individual
Prefix:
First Name:ASHELEA
Middle Name:
Last Name:MCCAIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:152 AUTUMN ACRES LN
Mailing Address - Street 2:
Mailing Address - City:SYLACAUGA
Mailing Address - State:AL
Mailing Address - Zip Code:35150-7826
Mailing Address - Country:US
Mailing Address - Phone:256-861-0604
Mailing Address - Fax:
Practice Address - Street 1:1400 W JORDAN ST UNIT 18032
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32523-7703
Practice Address - Country:US
Practice Address - Phone:256-861-0604
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-07
Last Update Date:2025-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW248261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical