Provider Demographics
NPI:1619418589
Name:GARNETT, ASHLEY DENELLE (MS, LCPC)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:DENELLE
Last Name:GARNETT
Suffix:
Gender:F
Credentials:MS, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 W 3RD ST STE 6
Mailing Address - Street 2:
Mailing Address - City:STEVENSVILLE
Mailing Address - State:MT
Mailing Address - Zip Code:59870-2038
Mailing Address - Country:US
Mailing Address - Phone:406-285-8200
Mailing Address - Fax:
Practice Address - Street 1:115 W 3RD ST STE 6
Practice Address - Street 2:
Practice Address - City:STEVENSVILLE
Practice Address - State:MT
Practice Address - Zip Code:59870-2038
Practice Address - Country:US
Practice Address - Phone:406-285-8200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-13
Last Update Date:2018-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTBBH-LCPC-LIC-23439101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional