Provider Demographics
NPI:1639054596
Name:ASHLEY, WILLIAM BRAD (LPC-A)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:BRAD
Last Name:ASHLEY
Suffix:
Gender:M
Credentials:LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1181 ROWLEY MILE
Mailing Address - Street 2:
Mailing Address - City:FAIRVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75069-8845
Mailing Address - Country:US
Mailing Address - Phone:972-800-5195
Mailing Address - Fax:
Practice Address - Street 1:550 S WATTERS RD STE 239
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-5229
Practice Address - Country:US
Practice Address - Phone:972-800-5195
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-09
Last Update Date:2025-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX97326101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional