| Mr Ashley Wayne Harris, LPC-A | |
|
101 Colvard St, Jefferson, NC 28640-9797 | |
| (336) 246-4542 | |
| (336) 246-4542 |
| Full Name | Mr Ashley Wayne Harris |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 15 Years |
| Location | 101 Colvard St, Jefferson, North Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669638599 | NPI | - | NPPES |
| 301100 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | A12279 (North Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Brightside Medical Of New Jersey Pc | 5799141750 | 61 |
| Entity Name | Brightside Medical of New Jersey PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811524754 PECOS PAC ID: 5799141750 Enrollment ID: O20230517000302 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Ashley Wayne Harris, LPC-A 101 Colvard St, Jefferson, NC 28640-9797 Ph: (336) 246-4542 | Mr Ashley Wayne Harris, LPC-A 101 Colvard St, Jefferson, NC 28640-9797 Ph: (336) 246-4542 |
Beverly Sturgill, Counselor Medicare: Not Enrolled in Medicare Practice Location: 221 W Main St, Jefferson, NC 28640 Phone: 336-246-4542 |
Jessica Stroud Davis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 221 W Main St, Jefferson, NC 28640 Phone: 704-939-1100 |
Suzanne Marie Barthet, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 Colvard St Unit 1, Jefferson, NC 28640 Phone: 336-246-4542 Fax: 336-246-2364 |
Bobby J Richardson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 221 W Main St, Jefferson, NC 28640 Phone: 704-939-1100 |
Amanda Elizabeth Gentry, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 224 North Main Street, Jefferson, NC 28640 Phone: 336-846-7492 Fax: 336-846-7397 |
Matthew Benjamin Hartzog, Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 Colvard St, Jefferson, NC 28640 Phone: 336-246-4542 |
Stephanie Lynn Schaffner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 221 W Main St, Jefferson, NC 28640 Phone: 704-939-1100 |