Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ashleybrook Clinic PA

Organization Mental Health Counselor · NPI 1699828475

Ashleybrook Clinic PA is a Mental Health Counselor in Winston Salem, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.

Licensed in
NC
In the registry since
2007
Specialties on file
3
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1321 Ashleybrook Ln
Winston Salem, NC 27103-2918
Phone: (336) 659-9045
Fax: (336) 659-7866
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 28930 (NC)
Psychiatry Physician Taxonomy 2084P0800X · Licence 28930 (NC)
Pain Medicine Physician Taxonomy 208VP0000X · Licence 28930 (NC)

Record details

NPI number1699828475
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thai Phan — President · (336) 659-9045
NPI enumeratedJanuary 18, 2007
Last updated in NPPESAugust 1, 2008
Mailing address1321 Ashleybrook Lane, Winston Salem, NC 27103-2918

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