Provider Demographics
NPI:1417142860
Name:ROBERSON, ASHLEY BROOKE (LPC)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:BROOKE
Last Name:ROBERSON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:BROOKE
Other - Last Name:BAREFOOT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9529 N HIGHWAY 146
Mailing Address - Street 2:
Mailing Address - City:MONT BELVIEU
Mailing Address - State:TX
Mailing Address - Zip Code:77520-9600
Mailing Address - Country:US
Mailing Address - Phone:281-460-1614
Mailing Address - Fax:281-576-4506
Practice Address - Street 1:9529 N HIGHWAY 146
Practice Address - Street 2:
Practice Address - City:MONT BELVIEU
Practice Address - State:TX
Practice Address - Zip Code:77520-9600
Practice Address - Country:US
Practice Address - Phone:281-460-1614
Practice Address - Fax:281-576-4506
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-10
Last Update Date:2008-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX61116101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional