Provider Demographics
NPI:1528856010
Name:LEGEYT, ASHANA PAIGE
Entity type:Individual
Prefix:
First Name:ASHANA
Middle Name:PAIGE
Last Name:LEGEYT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 SMITHWHEEL RD APT 26
Mailing Address - Street 2:
Mailing Address - City:OLD ORCHARD BEACH
Mailing Address - State:ME
Mailing Address - Zip Code:04064-1044
Mailing Address - Country:US
Mailing Address - Phone:413-717-7581
Mailing Address - Fax:
Practice Address - Street 1:103 STILES RD
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:NH
Practice Address - Zip Code:03079-4847
Practice Address - Country:US
Practice Address - Phone:603-965-0793
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-25
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health