Healthcare Provider Details

I. General information

NPI: 1730904608
Provider Name (Legal Business Name): ASHLEY EIKENBERRY MS, LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/18/2024
Last Update Date: 09/12/2026
Certification Date: 09/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

917 MAIN ST
GRAND JUNCTION CO
81501-3538
US

IV. Provider business mailing address

1060 ROOD AVE
GRAND JUNCTION CO
81501-3438
US

V. Phone/Fax

Practice location:
  • Phone: 970-462-7773
  • Fax:
Mailing address:
  • Phone: 217-381-4668
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC.0024603
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: