Barksdale, Ashley
Barksdale, Ashley is an sole proprietor health care provider with primary practice located at 5374 Highway 45 N , Columbus MS 39705-2947. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Barksdale, Ashley can be contacted via phone (662) 368-2008.Contact Information
Primary practice address
5374 Highway 45 N
Columbus MS 39705-2947
Phone: (662) 368-2008
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 5726C | Alabama |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | AD23-052B | Mississippi |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C10953 | Mississippi |
Profile Details
| NPI number | 1609309145 |
|---|---|
| LBN Legal business name | Barksdale, Ashley |
| Credentials | LCSW, CFLE, CADC II |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 11th, 2017 |
| Last updated | Apr 21st, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609309145 | NPPES |
| Mississippi | MEDICAID | 200009883 | |
| Mississippi | MEDICAID | 200009708 | |
| Mississippi | MEDICAID | 200009755 |
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