Provider Demographics
NPI:1235417890
Name:BALDWIN, ASHLEY (LPC, CAC II)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:
Last Name:BALDWIN
Suffix:
Gender:F
Credentials:LPC, CAC II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7610 N UNION BLVD STE 145
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80920-3894
Mailing Address - Country:US
Mailing Address - Phone:719-344-2209
Mailing Address - Fax:877-343-0485
Practice Address - Street 1:7610 N UNION BLVD STE 145
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920-3894
Practice Address - Country:US
Practice Address - Phone:719-344-2209
Practice Address - Fax:877-343-0485
Is Sole Proprietor?:No
Enumeration Date:2011-08-01
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COACB-7403101YA0400X
CO11695101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO9000141464Medicaid