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NPI Code Detail

MEDICARE: ASHLEY WILLHITE LMHC LLC

MEDICARE: ASHLEY WILLHITE LMHC LLC
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 Counselor

General Provider Information

NPI Number : 1902429616
Entity Type Code : Organization
Provider Name (Legal Business Name) : ASHLEY WILLHITE LMHC LLC
Provider Business Mailing Address
First Line : 3412 CENTER POINT RD NE
Second Line :
City : CEDAR RAPIDS
State : IA
Zip : 52402-5529
Country : US
Telephone Number : 319-777-9536
Fax Number : 319-382-8693
Provider Business Practice Location Address
First Line : 3412 CENTER POINT RD NE
Second Line :
City : CEDAR RAPIDS
State : IA
Zip : 52402-5529
Country : US
Telephone Number : 319-777-9536
Fax Number : 319-382-8693
Authorized Official
Title or Position : THERAPIST
Name : MRS. ASHLEY MARIE WILLHITE
Credential : LMHC
Telephone Number : 319-777-9536
Provider Enumeration Date : 05/28/2020
Last Update Date : 05/28/2020

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