Provider Demographics
NPI:1043456635
Name:ATTOUNGBLE, ASHLEY (LIMHP, LPC, LADC)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:ATTOUNGBLE
Suffix:
Gender:F
Credentials:LIMHP, LPC, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1903 4TH CORSO
Mailing Address - Street 2:
Mailing Address - City:NEBRASKA CITY
Mailing Address - State:NE
Mailing Address - Zip Code:68410-2601
Mailing Address - Country:US
Mailing Address - Phone:402-873-5505
Mailing Address - Fax:
Practice Address - Street 1:1903 4TH CORSO
Practice Address - Street 2:
Practice Address - City:NEBRASKA CITY
Practice Address - State:NE
Practice Address - Zip Code:68410-2601
Practice Address - Country:US
Practice Address - Phone:402-873-5505
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-02
Last Update Date:2018-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1035101YA0400X
NE3900101YM0800X
NE1933101YP2500X
NE1074101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE47052851501Medicaid
NE47052851508Medicaid
NE10025207700Medicaid
NE10025208500Medicaid
NE48320OtherBLUE CROSS BLUE SHIELD
NE10025208200Medicaid
NE47052851510Medicaid