Provider Demographics
NPI:1568930600
Name:MCELROY, ASHLEY TIA (LPC)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:TIA
Last Name:MCELROY
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 1:90 COUNTY ROAD 143
Mailing Address - Street 2:
Mailing Address - City:MULESHOE
Mailing Address - State:TX
Mailing Address - Zip Code:79347-6116
Mailing Address - Country:US
Mailing Address - Phone:806-315-0005
Mailing Address - Fax:
Practice Address - Street 1:119 E AVENUE C
Practice Address - Street 2:
Practice Address - City:MULESHOE
Practice Address - State:TX
Practice Address - Zip Code:79347-3613
Practice Address - Country:US
Practice Address - Phone:806-494-1327
Practice Address - Fax:806-272-5249
Is Sole Proprietor?:No
Enumeration Date:2018-11-07
Last Update Date:2018-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX76452101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional