Provider Demographics
NPI:1891935623
Name:RAGLAND, ASHLEY DAWN (LPC)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:DAWN
Last Name:RAGLAND
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 1:1701 TOWNE CROSSING BLVD
Mailing Address - Street 2:1134
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-3975
Mailing Address - Country:US
Mailing Address - Phone:214-542-6394
Mailing Address - Fax:
Practice Address - Street 1:2501 OAK LAWN AVE
Practice Address - Street 2:SUITE 500
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75219-4019
Practice Address - Country:US
Practice Address - Phone:214-520-6268
Practice Address - Fax:214-526-6219
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-06
Last Update Date:2010-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX64473101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX64473OtherLICENSE