Basic Information
Provider Information
NPI: 1851731780
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SEARING
FirstName: ASHLEY
MiddleName: LYNN
NamePrefix:  
NameSuffix:  
Credential: MA, NCC, LPCA
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 11823 SILVERCREST DR
Address2:  
City: CHARLOTTE
State: NC
PostalCode: 282159903
CountryCode: US
TelephoneNumber: 7048198741
FaxNumber:  
Practice Location
Address1: 284 EXECUTIVE PARK DRIVE
Address2: SUITE 100
City: CONCORD
State: NC
PostalCode: 280251894
CountryCode: US
TelephoneNumber: 7049391100
FaxNumber: 7049391173
Other Information
ProviderEnumerationDate: 06/25/2013
LastUpdateDate: 10/24/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101Y00000XA10274NCY Behavioral Health & Social Service ProvidersCounselor 

No ID Information.


Home