Provider Demographics
NPI:1235980970
Name:JOLLY, ASHLEY LYNN SCHANMIER
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:LYNN SCHANMIER
Last Name:JOLLY
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 1:1710 VIRGINIA ST
Mailing Address - Street 2:
Mailing Address - City:BELOIT
Mailing Address - State:WI
Mailing Address - Zip Code:53511-2515
Mailing Address - Country:US
Mailing Address - Phone:847-372-6558
Mailing Address - Fax:
Practice Address - Street 1:1710 VIRGINIA ST
Practice Address - Street 2:
Practice Address - City:BELOIT
Practice Address - State:WI
Practice Address - Zip Code:53511-2515
Practice Address - Country:US
Practice Address - Phone:847-372-6558
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-29
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor