Provider Demographics
NPI:1851977243
Name:ASHE, BONITA (LPC-T)
Entity Type:Individual
Prefix:
First Name:BONITA
Middle Name:
Last Name:ASHE
Suffix:
Gender:F
Credentials:LPC-T
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2866 RIDGE VIEW CT
Mailing Address - Street 2:
Mailing Address - City:XENIA
Mailing Address - State:OH
Mailing Address - Zip Code:45385-8647
Mailing Address - Country:US
Mailing Address - Phone:937-442-8171
Mailing Address - Fax:
Practice Address - Street 1:2866 RIDGE VIEW CT
Practice Address - Street 2:
Practice Address - City:XENIA
Practice Address - State:OH
Practice Address - Zip Code:45385-8647
Practice Address - Country:US
Practice Address - Phone:937-442-8171
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-24
Last Update Date:2021-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC2103022-TRNE101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health