Provider Demographics
NPI:1326322934
Name:CASTRO, ASHLEIGH GROS (LPC-S)
Entity Type:Individual
Prefix:MS
First Name:ASHLEIGH
Middle Name:GROS
Last Name:CASTRO
Suffix:
Gender:F
Credentials:LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2606 AUDUBON TRCE
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON
Mailing Address - State:LA
Mailing Address - Zip Code:70121-1561
Mailing Address - Country:US
Mailing Address - Phone:504-812-0941
Mailing Address - Fax:
Practice Address - Street 1:2606 AUDUBON TRCE
Practice Address - Street 2:
Practice Address - City:JEFFERSON
Practice Address - State:LA
Practice Address - Zip Code:70121-1561
Practice Address - Country:US
Practice Address - Phone:504-812-0941
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-30
Last Update Date:2017-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA4134101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional