Provider Demographics
NPI:1639586878
Name:ANIO, ASHTIN (LMSW)
Entity type:Individual
Prefix:
First Name:ASHTIN
Middle Name:
Last Name:ANIO
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:ASHTIN
Other - Middle Name:
Other - Last Name:ANIO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMSW
Mailing Address - Street 1:20103 OLD SCENIC HWY STE 7A
Mailing Address - Street 2:
Mailing Address - City:ZACHARY
Mailing Address - State:LA
Mailing Address - Zip Code:70791-7386
Mailing Address - Country:US
Mailing Address - Phone:225-305-7120
Mailing Address - Fax:
Practice Address - Street 1:20103 OLD SCENIC HWY STE 7A
Practice Address - Street 2:
Practice Address - City:ZACHARY
Practice Address - State:LA
Practice Address - Zip Code:70791-7386
Practice Address - Country:US
Practice Address - Phone:225-305-7120
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-21
Last Update Date:2024-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA12883101YS0200X
LA12833104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool