Healthcare Provider Details

I. General information

NPI: 1528902160
Provider Name (Legal Business Name): ASHLEY RUSH LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/15/2026
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 RUE BEAUREGARD STE 202
LAFAYETTE LA
70508-3251
US

IV. Provider business mailing address

201 RUE BEAUREGARD STE 202
LAFAYETTE LA
70508-3251
US

V. Phone/Fax

Practice location:
  • Phone: 337-520-0877
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number9760
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: