Provider Demographics
NPI:1508406729
Name:ASHLEY RICHEY LCSW PLLC
Entity Type:Organization
Organization Name:ASHLEY RICHEY LCSW PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:RICHEY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:512-754-1299
Mailing Address - Street 1:3920 JACK C HAYS TRL APT C
Mailing Address - Street 2:
Mailing Address - City:BUDA
Mailing Address - State:TX
Mailing Address - Zip Code:78610-4401
Mailing Address - Country:US
Mailing Address - Phone:512-754-1299
Mailing Address - Fax:
Practice Address - Street 1:3920 JACK C HAYS TRL APT C
Practice Address - Street 2:
Practice Address - City:BUDA
Practice Address - State:TX
Practice Address - Zip Code:78610-4401
Practice Address - Country:US
Practice Address - Phone:512-540-5409
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-15
Last Update Date:2021-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty