Provider Demographics
NPI:1437609740
Name:FALL, ASHLEIGH (MA, LPC, NCC)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEIGH
Middle Name:
Last Name:FALL
Suffix:
Gender:F
Credentials:MA, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6615 N SCOTTSDALE RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85250-4407
Mailing Address - Country:US
Mailing Address - Phone:480-808-6499
Mailing Address - Fax:480-219-4605
Practice Address - Street 1:6615 N SCOTTSDALE RD
Practice Address - Street 2:SUITE 100
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85250-4407
Practice Address - Country:US
Practice Address - Phone:480-808-6499
Practice Address - Fax:480-219-4605
Is Sole Proprietor?:No
Enumeration Date:2016-10-11
Last Update Date:2017-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-15809101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional