| Doctor Name: | DR. ASHLEY NEAL CALLICUTT |
| NPI Number: | 1508113002 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD, LPC, NCC |
| License Number: | LPC006870 |
| Business Practice Address: | 301 Sea Island Road, Suite G St. Simons Island, GA - 31522 |
| Business Phone Number: | 2144021014 |
| Business Fax Number: | |
| Mailing Address: | 301 Sea Island Road,, Suite G ST. SIMONS ISLAND |
| State: | GA |
| Postal Code: | 31522 |
| Phone Number: | 2144021014 |
| Fax Number: | |
| NPI Enumeration Date: | 08/14/2012 |
| NPI Last Update Date: | 08/14/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | LPC006870 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |