Healthcare Provider Details

I. General information

NPI: 1396659215
Provider Name (Legal Business Name): ASHLEIGH DOOP LMSW-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2630 WEST HOUEU RD
MASON MI
48854
US

IV. Provider business mailing address

1620 SHUBEL AVE
LANSING MI
48910
US

V. Phone/Fax

Practice location:
  • Phone: 517-676-1051
  • Fax:
Mailing address:
  • Phone: 734-417-9834
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number2462040301
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: