Provider Demographics
NPI:1619356896
Name:SCHULTHEIS, ASHLEY L (LPC)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:L
Last Name:SCHULTHEIS
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 1:7730 CARONDELET AVE STE 307
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63105-3328
Mailing Address - Country:US
Mailing Address - Phone:314-276-7391
Mailing Address - Fax:
Practice Address - Street 1:7730 CARONDELET AVE STE 307
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63105-3328
Practice Address - Country:US
Practice Address - Phone:314-276-7391
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-21
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2013007093101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional