Provider Demographics
NPI:1114397601
Name:ASH, CONSTANCE (LPC)
Entity Type:Individual
Prefix:
First Name:CONSTANCE
Middle Name:
Last Name:ASH
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 UNIVERSITY AVE
Mailing Address - Street 2:STUBBS HALL 120-G
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71209-3500
Mailing Address - Country:US
Mailing Address - Phone:318-348-9269
Mailing Address - Fax:
Practice Address - Street 1:700 UNIVERSITY AVE
Practice Address - Street 2:STUBBS HALL 120 G
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71209
Practice Address - Country:US
Practice Address - Phone:318-348-9269
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-28
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA4497101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA3096030Medicaid
LA1851037097OtherNPPES