Healthcare Provider Details

I. General information

NPI: 1881528578
Provider Name (Legal Business Name): ASHE COUNSELING & COACHING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2653 N KEDZIE AVE
CHICAGO IL
60647-1607
US

IV. Provider business mailing address

40 E HURON ST UNIT 4B
CHICAGO IL
60611-5244
US

V. Phone/Fax

Practice location:
  • Phone: 773-377-5577
  • Fax: 773-538-3785
Mailing address:
  • Phone: 773-377-5577
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MANDISA JONES
Title or Position: CEO
Credential: LCSW
Phone: 773-599-8922