Basic Information
| Provider Information | |||||||||
| NPI: | 1215396403 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | TOLBERT | ||||||||
| FirstName: | ASHLEY | ||||||||
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| Credential: | M.A., LCAS, CSI | ||||||||
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| Mailing Information | |||||||||
| Address1: | 219 HAW CREEK MEWS DR | ||||||||
| Address2: | |||||||||
| City: | ASHEVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 288051966 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8289890005 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 6 ROBERTS RD | ||||||||
| Address2: | SUITE 103 | ||||||||
| City: | ASHEVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 288038699 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8285053086 | ||||||||
| FaxNumber: | 8282746377 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/16/2016 | ||||||||
| LastUpdateDate: | 02/10/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 02/10/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YA0400X | 21729 | NC | Y | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) |
No ID Information.