Provider Demographics
NPI:1447654009
Name:GOUGH, ASYA DENISE (LPCC)
Entity type:Individual
Prefix:
First Name:ASYA
Middle Name:DENISE
Last Name:GOUGH
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:CHOSEN
Other - Middle Name:
Other - Last Name:GOUGH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:645 HOWE AVE # 1065
Mailing Address - Street 2:
Mailing Address - City:CUYAHOGA FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44221-4955
Mailing Address - Country:US
Mailing Address - Phone:330-238-8545
Mailing Address - Fax:
Practice Address - Street 1:1013 HARDESTY BLVD
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44320-2743
Practice Address - Country:US
Practice Address - Phone:330-238-8545
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-10
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE2404859101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional