Provider Demographics
NPI:1447075007
Name:HERRON, ASHLIE (CADC)
Entity type:Individual
Prefix:
First Name:ASHLIE
Middle Name:
Last Name:HERRON
Suffix:
Gender:F
Credentials:CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2611 HOSPITAL ROAD
Mailing Address - Street 2:
Mailing Address - City:GOLDSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27534-2753
Mailing Address - Country:US
Mailing Address - Phone:919-583-9329
Mailing Address - Fax:
Practice Address - Street 1:2611 HOSPITAL ROAD
Practice Address - Street 2:
Practice Address - City:GOLDSBORO
Practice Address - State:NC
Practice Address - Zip Code:27534-2753
Practice Address - Country:US
Practice Address - Phone:919-583-9329
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-19
Last Update Date:2024-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC27100101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)