Provider Demographics
NPI:1487015137
Name:BLACKWELL, ASHLEY ERNST (LPC)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:ERNST
Last Name:BLACKWELL
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 1:2924 BRAKLEY DR STE B6
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-2333
Mailing Address - Country:US
Mailing Address - Phone:225-605-3065
Mailing Address - Fax:
Practice Address - Street 1:2924 BRAKLEY DR STE B6
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816-2333
Practice Address - Country:US
Practice Address - Phone:225-605-3065
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-09
Last Update Date:2022-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional