Ashton Ezernack, LPC
Individual provider Active NPI Professional Counselor · Many, LA
NPI 1699059899 · NPPES record last updated Jan 2, 2013
Key facts
- NPI
- 1699059899
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- Practice address
- 265 Highland Drive
Many, LA 71449-3717 - Phone
- (318) 256-4119
- Fax
- (318) 256-4171
- NPI assigned
- Oct 6, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Yes |
Addresses
Primary practice location
265 Highland Drive
Many, LA 71449-3717
Mailing address
265 Highland Drive
Many, LA 71449-3717
Phone (318) 256-4119
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710601 | Medicaid | LA |
Other providers in Many, LA
- Crystal J Edwards
- Monica L. Elliott
- Emergency Staffing Solutions Inc
- Eric Edward Holt, MD
- Lynsey Rita Eveland
- Family Medical & Surgical Center of Many, Apmc
- Rita Marie Ferguson
- Jennifer Ferrell
- Joshua Fletcher
- Raygan Neely Fluitt
All providers in Many, LA · Professional Counselor in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 2, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.