Provider Demographics
NPI:1831686088
Name:ASHBY, DARREN BAIRD (LAC, LCSW)
Entity type:Individual
Prefix:MR
First Name:DARREN
Middle Name:BAIRD
Last Name:ASHBY
Suffix:
Gender:
Credentials:LAC, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 COOLEY ST TRLR 82
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59802-1973
Mailing Address - Country:US
Mailing Address - Phone:406-241-3044
Mailing Address - Fax:
Practice Address - Street 1:202 BROOKS ST
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59801-4019
Practice Address - Country:US
Practice Address - Phone:406-926-1453
Practice Address - Fax:406-926-1454
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-13
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTBBH-LAC-LIC-30184101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)