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NPI Code Detail

MEDICARE: ASHLEIGH MOONEY MED, LPC

MEDICARE: ASHLEIGH MOONEY MED, LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor6401226356MI
2101YP2500XProfessional Counselor6451023649MI

General Provider Information

NPI Number : 1184104630
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEIGH MOONEY MED, LPC
Provider Business Mailing Address
First Line : 1460 WALTON BLVD STE 60
Second Line :
City : ROCHESTER HILLS
State : MI
Zip : 48309-1729
Country : US
Telephone Number : 248-608-4514
Fax Number :
Provider Business Practice Location Address
First Line : 1777 AXTELL DR STE 202
Second Line :
City : TROY
State : MI
Zip : 48084-4435
Country : US
Telephone Number : 248-862-1171
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2018
Last Update Date : 06/21/2026

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