Healthcare Provider Details

I. General information

NPI: 1386074383
Provider Name (Legal Business Name): ASHLEIGH BERRYHILL LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/13/2013
Last Update Date: 09/26/2026
Certification Date: 09/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 BURMASTER ST
GRETNA LA
70053-2246
US

IV. Provider business mailing address

1000 BURMASTER ST
GRETNA LA
70053-2246
US

V. Phone/Fax

Practice location:
  • Phone: 504-766-0698
  • Fax:
Mailing address:
  • Phone: 504-582-9452
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number14328
License Number StateLA
# 3
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: