Provider Demographics
NPI:1215726070
Name:HARRIS, ASHLEY LAMB (MA, CRC, LPC)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:LAMB
Last Name:HARRIS
Suffix:
Gender:
Credentials:MA, CRC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1810 ROSE ST
Mailing Address - Street 2:
Mailing Address - City:BRYAN
Mailing Address - State:TX
Mailing Address - Zip Code:77802-1631
Mailing Address - Country:US
Mailing Address - Phone:936-240-9577
Mailing Address - Fax:936-240-9577
Practice Address - Street 1:2748 LONGMIRE DR
Practice Address - Street 2:
Practice Address - City:COLLEGE STATION
Practice Address - State:TX
Practice Address - Zip Code:77845-5424
Practice Address - Country:US
Practice Address - Phone:979-777-1683
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-06
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX92244101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional