Provider Demographics
NPI:1518769983
Name:BUCHANAN, ASHLEY (MA, MS, LPC, LMFT)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:BUCHANAN
Suffix:
Gender:
Credentials:MA, MS, LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1502 STUBBS AVE
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71201-5628
Mailing Address - Country:US
Mailing Address - Phone:318-323-8700
Mailing Address - Fax:
Practice Address - Street 1:1502 STUBBS AVE
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201-5628
Practice Address - Country:US
Practice Address - Phone:318-323-8700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-26
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA10586101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health