Mizelle, William Ashley

Mizelle, William Ashley is an individual health care provider with primary practice located at 2602 Courtier Dr , Greenville NC 27834-7818. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Mizelle, William Ashley can be contacted via phone (252) 752-0483.

Contact Information

Primary practice address
2602 Courtier Dr Greenville NC 27834-7818
Phone: (252) 752-0483
Fax: (252) 757-3172
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 6860 North Carolina
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 10014 North Carolina
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 6860 North Carolina
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1061 North Carolina

Profile Details

NPI number 1154497220
LBN Legal business name Mizelle, William Ashley
Credentials LCAS,LCMHC,CCS
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2006
Last updated Oct 23rd, 2023 - 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 1154497220 NPPES
North Carolina MEDICAID 6111889
North Carolina Other 191488
North Carolina Other 143KY

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