Healthcare Provider Details

I. General information

NPI: 1417543141
Provider Name (Legal Business Name): ASHLEY NICOLE SLAUGHTER LPC-ASSOCIATE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/16/2020
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1017 BUTTERNUT ST
ABILENE TX
79602-2523
US

IV. Provider business mailing address

1351 ANDY ST APT 1215
ABILENE TX
79605-4417
US

V. Phone/Fax

Practice location:
  • Phone: 325-268-1003
  • Fax:
Mailing address:
  • Phone: 325-268-1003
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number90024
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: