Provider Demographics
NPI:1629436803
Name:DESCANT, ASHLY HOPE LEITCH (MHP)
Entity type:Individual
Prefix:MRS
First Name:ASHLY
Middle Name:HOPE LEITCH
Last Name:DESCANT
Suffix:
Gender:F
Credentials:MHP
Other - Prefix:MRS
Other - First Name:ASHLY
Other - Middle Name:HOPE
Other - Last Name:LEITCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PLPC
Mailing Address - Street 1:760 BELLEVUE ST
Mailing Address - Street 2:
Mailing Address - City:JENA
Mailing Address - State:LA
Mailing Address - Zip Code:71342-7188
Mailing Address - Country:US
Mailing Address - Phone:318-592-1972
Mailing Address - Fax:
Practice Address - Street 1:1052 CHANAHA HINA ST.
Practice Address - Street 2:
Practice Address - City:TROUT
Practice Address - State:LA
Practice Address - Zip Code:71371
Practice Address - Country:US
Practice Address - Phone:318-233-1082
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-03
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X, 171M00000X
LAPLC10414101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No171M00000XOther Service ProvidersCase Manager/Care Coordinator