Provider Demographics
NPI:1780181024
Name:CAREY, ASHLEY CONSTANCE (LPC)
Entity Type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:CONSTANCE
Last Name:CAREY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:DR
Other - First Name:ASHLEY
Other - Middle Name:CAREY
Other - Last Name:COX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:412 LAFAYETTE ST
Mailing Address - Street 2:
Mailing Address - City:GRETNA
Mailing Address - State:LA
Mailing Address - Zip Code:70053-5934
Mailing Address - Country:US
Mailing Address - Phone:504-915-1377
Mailing Address - Fax:
Practice Address - Street 1:412 LAFAYETTE ST
Practice Address - Street 2:
Practice Address - City:GRETNA
Practice Address - State:LA
Practice Address - Zip Code:70053-5934
Practice Address - Country:US
Practice Address - Phone:504-915-1377
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-12
Last Update Date:2019-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA5539101Y00000X, 101YP2500X, 101YM0800X
5539101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
82-5055175OtherTAX ID
LA14237513OtherCAQH