Provider Demographics
NPI:1033818091
Name:TIPTON, ASHLEY (LPCC)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:TIPTON
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:167 S TYLER AVE
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:CO
Mailing Address - Zip Code:80027-9552
Mailing Address - Country:US
Mailing Address - Phone:901-828-3689
Mailing Address - Fax:
Practice Address - Street 1:167 S TYLER AVE
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:CO
Practice Address - Zip Code:80027-9552
Practice Address - Country:US
Practice Address - Phone:901-828-3689
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-28
Last Update Date:2023-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO24373046101Y00000X
COLPCC.0020222101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor