Provider Demographics
NPI:1841435740
Name:MCELWAIN, ASHLEE BROOKE (MED, LPCC, LICDC)
Entity type:Individual
Prefix:
First Name:ASHLEE
Middle Name:BROOKE
Last Name:MCELWAIN
Suffix:
Gender:F
Credentials:MED, LPCC, LICDC
Other - Prefix:
Other - First Name:ASHLEE
Other - Middle Name:BROOKE
Other - Last Name:LAW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MED, LPCC, LICDC
Mailing Address - Street 1:PO BOX 94
Mailing Address - Street 2:
Mailing Address - City:OLD WASHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43768-0094
Mailing Address - Country:US
Mailing Address - Phone:740-489-5571
Mailing Address - Fax:740-489-5004
Practice Address - Street 1:239A OLD NATIONAL ROAD OLD
Practice Address - Street 2:
Practice Address - City:OLD WASHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43768-0094
Practice Address - Country:US
Practice Address - Phone:740-489-5571
Practice Address - Fax:740-489-5004
Is Sole Proprietor?:No
Enumeration Date:2008-12-05
Last Update Date:2016-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHICDC.101174101YA0400X
OHE.0800055101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)