Provider Demographics
NPI:1013607498
Name:NELSON, ASHLYN BROOKE (LPC)
Entity type:Individual
Prefix:
First Name:ASHLYN
Middle Name:BROOKE
Last Name:NELSON
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 1:3317 PRESTON HILLS CIR
Mailing Address - Street 2:
Mailing Address - City:PROSPER
Mailing Address - State:TX
Mailing Address - Zip Code:75078-9308
Mailing Address - Country:US
Mailing Address - Phone:469-465-1116
Mailing Address - Fax:
Practice Address - Street 1:6991 PECAN ST
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-4252
Practice Address - Country:US
Practice Address - Phone:469-465-1116
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-10
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX87297101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional