Provider Demographics
NPI:1922405109
Name:ASRCOUNSELINGSERVICESLLC
Entity Type:Organization
Organization Name:ASRCOUNSELINGSERVICESLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:SMITH
Authorized Official - Last Name:RILEY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:504-319-8028
Mailing Address - Street 1:190 HICKORY AVE
Mailing Address - Street 2:STE.11
Mailing Address - City:HARAHAN
Mailing Address - State:LA
Mailing Address - Zip Code:70123-4068
Mailing Address - Country:US
Mailing Address - Phone:504-319-8028
Mailing Address - Fax:504-309-4845
Practice Address - Street 1:509 WALL BLVD
Practice Address - Street 2:
Practice Address - City:GRETNA
Practice Address - State:LA
Practice Address - Zip Code:70056-7725
Practice Address - Country:US
Practice Address - Phone:504-319-8028
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-03
Last Update Date:2014-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA5149101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty