Provider Demographics
NPI:1891407961
Name:GALLAGHER, ASHTEN NOEL (LCSW)
Entity Type:Individual
Prefix:
First Name:ASHTEN
Middle Name:NOEL
Last Name:GALLAGHER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 PAWNEE LN
Mailing Address - Street 2:
Mailing Address - City:BELTON
Mailing Address - State:TX
Mailing Address - Zip Code:76513-6627
Mailing Address - Country:US
Mailing Address - Phone:254-383-5849
Mailing Address - Fax:
Practice Address - Street 1:3513 SW H K DODGEN LOOP STE 200
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76502-8003
Practice Address - Country:US
Practice Address - Phone:254-677-6549
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-20
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX671831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical