Healthcare Provider Details

I. General information

NPI: 1063943199
Provider Name (Legal Business Name): LARONDA Y. ASHFORD LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/21/2017
Last Update Date: 01/25/2024
Certification Date: 01/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1218 WHITECAP BAY CIR
CYPRESS TX
77433
US

IV. Provider business mailing address

1218 WHITECAP BAY CIR
CYPRESS TX
77433
US

V. Phone/Fax

Practice location:
  • Phone: 832-244-8676
  • Fax:
Mailing address:
  • Phone: 832-244-8676
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number73272
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number73272
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number73272
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number73272
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: