Provider Demographics
NPI:1609431121
Name:HARRISON, ASHLEY (LCPC)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:HARRISON
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:
Other - Last Name:ALEXANDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1595 SUMMIT RD
Mailing Address - Street 2:
Mailing Address - City:HAYS
Mailing Address - State:KS
Mailing Address - Zip Code:67601-9463
Mailing Address - Country:US
Mailing Address - Phone:785-268-2856
Mailing Address - Fax:785-268-2868
Practice Address - Street 1:2810 PLAZA AVE
Practice Address - Street 2:
Practice Address - City:HAYS
Practice Address - State:KS
Practice Address - Zip Code:67601-1924
Practice Address - Country:US
Practice Address - Phone:785-268-2856
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-09
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX77550101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional