Provider Demographics
NPI:1710639067
Name:DAVIS, ASHLEY ROZIER (LPC)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:ROZIER
Last Name:DAVIS
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 1:217 LONG COVE DR
Mailing Address - Street 2:
Mailing Address - City:CIBOLO
Mailing Address - State:TX
Mailing Address - Zip Code:78108-3329
Mailing Address - Country:US
Mailing Address - Phone:210-291-0543
Mailing Address - Fax:
Practice Address - Street 1:1996 SCHERTZ PKWY STE 501
Practice Address - Street 2:
Practice Address - City:SCHERTZ
Practice Address - State:TX
Practice Address - Zip Code:78154-1681
Practice Address - Country:US
Practice Address - Phone:512-557-4491
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-18
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX84019101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty