Provider Demographics
NPI:1831980838
Name:ASHLEY, LAZARICA VERLEAN
Entity type:Individual
Prefix:MRS
First Name:LAZARICA
Middle Name:VERLEAN
Last Name:ASHLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:LAZARICA
Other - Middle Name:VERLEAN
Other - Last Name:JAMES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:19334 N LARIAT RD
Mailing Address - Street 2:
Mailing Address - City:MARICOPA
Mailing Address - State:AZ
Mailing Address - Zip Code:85138-3042
Mailing Address - Country:US
Mailing Address - Phone:520-280-8071
Mailing Address - Fax:
Practice Address - Street 1:6350 S MAPLE AVE
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85283-2857
Practice Address - Country:US
Practice Address - Phone:480-222-1337
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-16
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLAC-23531101YM0800X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health