Provider Demographics
NPI:1295444909
Name:PERKINS, ASHLEA ELIZABETH (LPC, LCDC,NCC)
Entity type:Individual
Prefix:
First Name:ASHLEA
Middle Name:ELIZABETH
Last Name:PERKINS
Suffix:
Gender:F
Credentials:LPC, LCDC,NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:612 VZ COUNTY ROAD 4516
Mailing Address - Street 2:
Mailing Address - City:BEN WHEELER
Mailing Address - State:TX
Mailing Address - Zip Code:75754-3405
Mailing Address - Country:US
Mailing Address - Phone:903-515-0088
Mailing Address - Fax:
Practice Address - Street 1:612 VZ COUNTY ROAD 4516
Practice Address - Street 2:
Practice Address - City:BEN WHEELER
Practice Address - State:TX
Practice Address - Zip Code:75754-3405
Practice Address - Country:US
Practice Address - Phone:903-515-0088
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-21
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX83090101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX84-4175398OtherLPC,LCDC, NCC