Provider Demographics
NPI:1548634793
Name:WOODS, ASHLEIGH
Entity type:Individual
Prefix:MRS
First Name:ASHLEIGH
Middle Name:
Last Name:WOODS
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 1:126 ENTERPRISE PATH
Mailing Address - Street 2:STE 201
Mailing Address - City:HIRAM
Mailing Address - State:GA
Mailing Address - Zip Code:30141-2656
Mailing Address - Country:US
Mailing Address - Phone:678-567-0920
Mailing Address - Fax:678-567-0950
Practice Address - Street 1:126 ENTERPRISE PATH
Practice Address - Street 2:STE 201
Practice Address - City:HIRAM
Practice Address - State:GA
Practice Address - Zip Code:30141-2656
Practice Address - Country:US
Practice Address - Phone:678-567-0920
Practice Address - Fax:678-567-0950
Is Sole Proprietor?:No
Enumeration Date:2015-11-25
Last Update Date:2015-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health