Provider Demographics
NPI:1124462031
Name:SIMON, ASHLEIGH ELIZABETH (LPC, NCC)
Entity type:Individual
Prefix:MRS
First Name:ASHLEIGH
Middle Name:ELIZABETH
Last Name:SIMON
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3401 NEWMAN RD
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36695-8613
Mailing Address - Country:US
Mailing Address - Phone:251-633-0475
Mailing Address - Fax:251-285-0489
Practice Address - Street 1:3401 NEWMAN RD
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36695-8613
Practice Address - Country:US
Practice Address - Phone:251-633-0475
Practice Address - Fax:251-285-0489
Is Sole Proprietor?:No
Enumeration Date:2013-04-22
Last Update Date:2013-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL223809101Y00000X
AL019101YA0400X
AL2458101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)