Holford, Ashley Haynes

Holford, Ashley Haynes is an individual health care provider with primary practice located at 102 Medical Park Ste B , Hattiesburg MS 39401-9080. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Holford, Ashley Haynes can be contacted via phone (601) 261-1650.

Contact Information

Primary practice address
102 Medical Park Ste B Hattiesburg MS 39401-9080
Phone: (601) 261-1650
Fax: (601) 579-5240
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X C5392 Mississippi
Behavioral Health & Social Service Providers / Clinical 1041C0700X C5392 Mississippi

Profile Details

NPI number 1053354027
LBN Legal business name Holford, Ashley Haynes
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Jun 18th, 2024 - about 2 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053354027 NPPES
Mississippi MEDICAID 00122900
Mississippi Other 800012938

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