Provider Demographics
NPI:1548935406
Name:BENNETT, ASHLEIGH (CHRISTIAN COUNSELOR)
Entity type:Individual
Prefix:
First Name:ASHLEIGH
Middle Name:
Last Name:BENNETT
Suffix:
Gender:F
Credentials:CHRISTIAN COUNSELOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13039 CHATFIELD MANOR LN
Mailing Address - Street 2:
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77377-7299
Mailing Address - Country:US
Mailing Address - Phone:713-550-3479
Mailing Address - Fax:
Practice Address - Street 1:5403 CANYON FOREST DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77088-2710
Practice Address - Country:US
Practice Address - Phone:713-550-3479
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-12
Last Update Date:2021-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No171M00000XOther Service ProvidersCase Manager/Care Coordinator