Provider Demographics
NPI:1669183661
Name:J. ASHLEY WARD, LICENSED PROFESSIONAL COUNSELOR, PLLC
Entity type:Organization
Organization Name:J. ASHLEY WARD, LICENSED PROFESSIONAL COUNSELOR, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CLINICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:ASHLEY
Authorized Official - Last Name:WARD
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:719-757-8494
Mailing Address - Street 1:2244 SAINT PAUL DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80910-3208
Mailing Address - Country:US
Mailing Address - Phone:719-757-8494
Mailing Address - Fax:
Practice Address - Street 1:620 S CASCADE AVE STE 203
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80903-4051
Practice Address - Country:US
Practice Address - Phone:719-757-8494
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-09
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO14766OtherLPC - LICENSED PROFESSIONAL COUNSELOR