MEDICARE: MS. DOROTHY MODEST ASHLEY M. ED./ LMFT

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
1	101Y00000X	Counselor		TX
2	101YM0800X	Mental Health Counselor		TX
3	101YS0200X	School Counselor		TX
4	106H00000X	Marriage & Family Therapist	004297	TX

General Provider Information

NPI Number	:	1649214602
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DOROTHY MODEST ASHLEY M. ED./ LMFT

Provider Business Mailing Address
First Line	:	2803 ALMEDA PLAZA DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77045-3705
Country	:	US
Telephone Number	:	713-433-4207
Fax Number	:	713-413-1681

Provider Business Practice Location Address
First Line	:	5330 GRIGGS RD
Second Line	:	C 106
City	:	HOUSTON
State	:	TX
Zip	:	77021-3700
Country	:	US
Telephone Number	:	713-443-6047
Fax Number	:	713-413-1681

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2006
Last Update Date	:	09/11/2025

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