=====================================================
General NPI Number Information
=====================================================
NPI Number | 1821905225
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ASHLEA DILLARD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/24/2026
-----------------------------------------------------
Last Update Date | 08/24/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 730 CLEVELAND AVE STE 2
-----------------------------------------------------
City | LOVELAND
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80537-4741
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 720-727-7096
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 766
-----------------------------------------------------
City | GALETON
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80622-0766
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 720-727-7096
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number | LPC.0023050
-----------------------------------------------------
License Number State | CO
-----------------------------------------------------