Provider Demographics
NPI:1649214602
Name:ASHLEY, DOROTHY MODEST (M ED/ LMFT)
Entity type:Individual
Prefix:MS
First Name:DOROTHY
Middle Name:MODEST
Last Name:ASHLEY
Suffix:
Gender:F
Credentials:M ED/ LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2803 ALMEDA PLAZA DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77045-3705
Mailing Address - Country:US
Mailing Address - Phone:713-433-4207
Mailing Address - Fax:713-413-1681
Practice Address - Street 1:5330 GRIGGS RD
Practice Address - Street 2:C 106
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77021-3700
Practice Address - Country:US
Practice Address - Phone:713-443-6047
Practice Address - Fax:713-413-1681
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-16
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101Y00000X, 101YM0800X, 101YS0200X
TX004297106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101Y00000XBehavioral Health & Social Service ProvidersCounselor
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist