Healthcare Provider Details

I. General information

NPI: 1477328078
Provider Name (Legal Business Name): ALLYSHA GARTHRIGHT MA, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALLY GARTHRIGHT LPC, LMHC, LIMHP

II. Dates (important events)

Enumeration Date: 11/24/2023
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1720 N 16TH ST STE K
COUNCIL BLUFFS IA
51501-0109
US

IV. Provider business mailing address

2137 S 61ST AVE
OMAHA NE
68106-2134
US

V. Phone/Fax

Practice location:
  • Phone: 712-256-4420
  • Fax:
Mailing address:
  • Phone: 402-302-0255
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLMHC.136373
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC.0019789
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLIMHP.4618
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: