Provider Demographics
NPI:1801247887
Name:TAYLOR, ASHIA DESHUND (MS/BHT)
Entity type:Individual
Prefix:MRS
First Name:ASHIA
Middle Name:DESHUND
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:MS/BHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1741 E DESERT BREEZE PL
Mailing Address - Street 2:
Mailing Address - City:CASA GRANDE
Mailing Address - State:AZ
Mailing Address - Zip Code:85122-5879
Mailing Address - Country:US
Mailing Address - Phone:520-450-0759
Mailing Address - Fax:
Practice Address - Street 1:1115 E FLORENCE BLVD
Practice Address - Street 2:
Practice Address - City:CASA GRANDE
Practice Address - State:AZ
Practice Address - Zip Code:85122-4228
Practice Address - Country:US
Practice Address - Phone:520-723-4429
Practice Address - Fax:520-421-9400
Is Sole Proprietor?:No
Enumeration Date:2016-06-30
Last Update Date:2016-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor