Provider Demographics
NPI:1871749747
Name:DAVIS, ASHLEY OFFORD (LPC)
Entity type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:OFFORD
Last Name:DAVIS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MRS
Other - First Name:ASHLEY
Other - Middle Name:OFFORD
Other - Last Name:FOSTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:1424 7TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:AL
Mailing Address - Zip Code:35601-4216
Mailing Address - Country:US
Mailing Address - Phone:256-822-2902
Mailing Address - Fax:
Practice Address - Street 1:1424 7TH AVE SE
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:AL
Practice Address - Zip Code:35601-4216
Practice Address - Country:US
Practice Address - Phone:256-822-2902
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-12
Last Update Date:2024-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2995101YP2500X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51122151OtherBC/BS PROVIDER NUMBER