Provider Demographics
NPI:1053830042
Name:SEPPALA, ASHLEIGH (LMSW)
Entity Type:Individual
Prefix:
First Name:ASHLEIGH
Middle Name:
Last Name:SEPPALA
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3105 S MLK BLVD # 187
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48910-2939
Mailing Address - Country:US
Mailing Address - Phone:517-258-0258
Mailing Address - Fax:
Practice Address - Street 1:4302 DELL RD APT A
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48911-8104
Practice Address - Country:US
Practice Address - Phone:517-258-0258
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-12
Last Update Date:2021-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68011044861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical