Healthcare Provider Details
I. General information
NPI: 1619655750
Provider Name (Legal Business Name): ASHLEY D FREEMAN LPC, LMAC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/10/2023
Last Update Date: 09/25/2025
Certification Date: 09/25/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
205 W 2ND ST
MINNEAPOLIS KS
67467-2311
US
IV. Provider business mailing address
PO BOX 283
MINNEAPOLIS KS
67467-0283
US
V. Phone/Fax
- Phone: 785-435-9005
- Fax: 785-393-3142
- Phone: 785-392-6531
- Fax: 785-393-3142
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | 01310 |
| License Number State | KS |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | 04454 |
| License Number State | KS |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: