Provider Demographics
NPI:1467951236
Name:SEXTON, ASHLEIGH LAUREN
Entity Type:Individual
Prefix:
First Name:ASHLEIGH
Middle Name:LAUREN
Last Name:SEXTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4075 S ISABELLA RD APT BB12
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:MI
Mailing Address - Zip Code:48858-8197
Mailing Address - Country:US
Mailing Address - Phone:269-275-7411
Mailing Address - Fax:
Practice Address - Street 1:2801 ASHMAN ST
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48640-4408
Practice Address - Country:US
Practice Address - Phone:989-633-9600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-07
Last Update Date:2018-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401016477101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional