Provider Demographics
NPI:1003628363
Name:KLEEKAMP, ASHTON MORGAN (TLPC-MHSP)
Entity type:Individual
Prefix:
First Name:ASHTON
Middle Name:MORGAN
Last Name:KLEEKAMP
Suffix:
Gender:F
Credentials:TLPC-MHSP
Other - Prefix:
Other - First Name:ASHTON
Other - Middle Name:MORGAN
Other - Last Name:HIPP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2404 CEDAR CREEK DR
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-2005
Mailing Address - Country:US
Mailing Address - Phone:256-506-8381
Mailing Address - Fax:
Practice Address - Street 1:6236 AIRPARK DR
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-2988
Practice Address - Country:US
Practice Address - Phone:423-954-8839
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-23
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7688101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health