Provider Demographics
NPI:1205466968
Name:O'NEIL, ASHLEY LYNN LOCKWOOD
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:LYNN LOCKWOOD
Last Name:O'NEIL
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 1:8314 224TH ST SW
Mailing Address - Street 2:
Mailing Address - City:EDMONDS
Mailing Address - State:WA
Mailing Address - Zip Code:98026-8251
Mailing Address - Country:US
Mailing Address - Phone:206-795-5573
Mailing Address - Fax:
Practice Address - Street 1:8314 224TH ST SW
Practice Address - Street 2:
Practice Address - City:EDMONDS
Practice Address - State:WA
Practice Address - Zip Code:98026-8251
Practice Address - Country:US
Practice Address - Phone:206-795-5573
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-22
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61445855101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health