Provider Demographics
NPI:1538928643
Name:BAINES, ASHLEY (LPC, CSC)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:BAINES
Suffix:
Gender:F
Credentials:LPC, CSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18545 UNIVERSITY BLVD APT 613
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-4356
Mailing Address - Country:US
Mailing Address - Phone:832-498-0147
Mailing Address - Fax:
Practice Address - Street 1:18545 UNIVERSITY BLVD APT 613
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-4356
Practice Address - Country:US
Practice Address - Phone:832-498-0147
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-19
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX89481101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional