Provider Demographics
NPI:1407520927
Name:CREECH, ASHLEIGH PAIGE (LPC)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEIGH
Middle Name:PAIGE
Last Name:CREECH
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 1:17257 MONITOR AVE
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70817-2354
Mailing Address - Country:US
Mailing Address - Phone:225-335-3622
Mailing Address - Fax:
Practice Address - Street 1:17257 MONITOR AVE
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70817-2354
Practice Address - Country:US
Practice Address - Phone:225-335-3622
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-07
Last Update Date:2021-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA6137101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health