Provider Demographics
NPI:1598516361
Name:STEAKLEY, ASHLEY ANN HOPKINS
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:ANN HOPKINS
Last Name:STEAKLEY
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 1:100 N 6TH ST
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76701-2002
Mailing Address - Country:US
Mailing Address - Phone:254-723-8524
Mailing Address - Fax:
Practice Address - Street 1:305 N 40TH ST
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76710-7119
Practice Address - Country:US
Practice Address - Phone:254-723-8524
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-29
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX88075101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional