1770955916 NPI number — ASHLEYE DUNBAR MCELRATH MA, LPC

Table of content: ASHLEYE DUNBAR MCELRATH MA, LPC (NPI 1770955916)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1770955916 NPI number — ASHLEYE DUNBAR MCELRATH MA, LPC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MCELRATH
Provider First Name:
ASHLEYE
Provider Middle Name:
DUNBAR
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MA, LPC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MCELRATH
Provider Other First Name:
ASHLEYE
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
MA, LPC
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1770955916
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/05/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
28470 MISS LOU ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LACOMBE
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70445-3208
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
504-493-9344
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
HAMMOND WESTSIDE MONTESSORI SCHOOL
Provider Second Line Business Practice Location Address:
2600 PFC MATTHEW E, WILDES STREET
Provider Business Practice Location Address City Name:
HAMMOND
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70403
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
504-493-9344
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/27/2015

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  4505 , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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