Healthcare Provider Details

I. General information

NPI: 1639527310
Provider Name (Legal Business Name): MRS. ASHLEY NAKIA LAWSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ASHLEY NAKIA MITCHELL

II. Dates (important events)

Enumeration Date: 06/02/2016
Last Update Date: 10/04/2025
Certification Date: 10/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3925 W BAMBOO DR
HARVEY LA
70058-5822
US

IV. Provider business mailing address

3925 W BAMBOO DR
HARVEY LA
70058-5822
US

V. Phone/Fax

Practice location:
  • Phone: 504-232-9329
  • Fax:
Mailing address:
  • Phone: 504-232-9329
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateLA
# 3
Primary TaxonomyN
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: