Provider Demographics
NPI:1881935518
Name:ABERNATHY, ASHLEY PAYNE (LPC, LCDC)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:PAYNE
Last Name:ABERNATHY
Suffix:
Gender:F
Credentials:LPC, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 N MORRIS ST
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75069-3645
Mailing Address - Country:US
Mailing Address - Phone:469-343-1901
Mailing Address - Fax:
Practice Address - Street 1:1833 W HUNT ST BLDG B
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-3367
Practice Address - Country:US
Practice Address - Phone:469-343-1901
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-05
Last Update Date:2020-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11910101YA0400X
TX68005101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)