Provider Demographics
NPI:1447039854
Name:ROMERO, ASHLEY S (PLMHP)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:S
Last Name:ROMERO
Suffix:
Gender:F
Credentials:PLMHP
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:S
Other - Last Name:GIPE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PLMHP
Mailing Address - Street 1:1620 W BURNHAM ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68522-9224
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1620 W BURNHAM ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68522-9224
Practice Address - Country:US
Practice Address - Phone:308-390-4548
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-25
Last Update Date:2024-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE13612101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health