MEDICARE: DR. ASHLEY GONZALEZ PHD, MS, LPC-S, LCDC

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	101YP2500X	Professional Counselor	76802	TX

General Provider Information

NPI Number	:	1881173367
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ASHLEY GONZALEZ PHD, MS, LPC-S, LCDC

Provider Business Mailing Address
First Line	:	16815 ROYAL CREST DR STE 100
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77058-2549
Country	:	US
Telephone Number	:	346-910-8767
Fax Number	:	346-810-8737

Provider Business Practice Location Address
First Line	:	16815 ROYAL CREST DR STE 100
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77058-2549
Country	:	US
Telephone Number	:	346-910-8767
Fax Number	:	346-810-8737

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

Provider Enumeration Date	:	08/07/2018
Last Update Date	:	03/03/2026

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