MEDICARE: ASHLEIGH ELMSHAEUSER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1154192730
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEIGH ELMSHAEUSER

Provider Business Mailing Address
First Line	:	920 GLORIETTA AVE
Second Line	:
City	:	MCGREGOR
State	:	TX
Zip	:	76657-1339
Country	:	US
Telephone Number	:	623-760-6633
Fax Number	:

Provider Business Practice Location Address
First Line	:	3500 HILLCREST DR STE 2B
Second Line	:
City	:	WACO
State	:	TX
Zip	:	76708-3100
Country	:	US
Telephone Number	:	254-447-4539
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/11/2024
Last Update Date	:	01/11/2024

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Directions to “ ASHLEIGH ELMSHAEUSER ” Practice Location

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