Provider Demographics
NPI:1750557039
Name:CERDA, ASHLEY LYNN (LPCS)
Entity type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:LYNN
Last Name:CERDA
Suffix:
Gender:F
Credentials:LPCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1345 HENRI DE TONTI BLVD
Mailing Address - Street 2:SUITE C
Mailing Address - City:SPRINGDALE
Mailing Address - State:AR
Mailing Address - Zip Code:72762
Mailing Address - Country:US
Mailing Address - Phone:479-234-0958
Mailing Address - Fax:479-595-8969
Practice Address - Street 1:1345 HENRI DE TONTI BLVD
Practice Address - Street 2:SUITE C
Practice Address - City:SPRINGDALE
Practice Address - State:AR
Practice Address - Zip Code:72762
Practice Address - Country:US
Practice Address - Phone:479-966-9750
Practice Address - Fax:479-595-8969
Is Sole Proprietor?:No
Enumeration Date:2008-05-06
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR375L101YA0400X
MO2024011977101YM0800X
ARP1204045101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)