Provider Demographics
NPI:1760931729
Name:MCREYNOLDS, ASHIA Y (LMFT, LCADCI)
Entity Type:Individual
Prefix:MS
First Name:ASHIA
Middle Name:Y
Last Name:MCREYNOLDS
Suffix:
Gender:F
Credentials:LMFT, LCADCI
Other - Prefix:
Other - First Name:ASHIA
Other - Middle Name:Y
Other - Last Name:ABIODUN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT, LCADCI
Mailing Address - Street 1:9850 S MARYLAND PKWY STE A5-389
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89183-7146
Mailing Address - Country:US
Mailing Address - Phone:702-578-4505
Mailing Address - Fax:702-940-7599
Practice Address - Street 1:2840 E. FLAMINGO ROAD
Practice Address - Street 2:SUITE A
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89121
Practice Address - Country:US
Practice Address - Phone:702-578-4505
Practice Address - Fax:702-940-7599
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-30
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV2569106H00000X, 106H00000X, 106H00000X
NV00574-LC101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)