Provider Demographics
NPI:1194283283
Name:COOK, ASHLEY J (LMFT)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:J
Last Name:COOK
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7500 COLLEGE BLVD STE 500
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66210-4043
Mailing Address - Country:US
Mailing Address - Phone:913-204-0582
Mailing Address - Fax:913-248-0422
Practice Address - Street 1:7500 COLLEGE BLVD STE 500
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66210-4043
Practice Address - Country:US
Practice Address - Phone:913-204-0582
Practice Address - Fax:913-248-0422
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-07
Last Update Date:2019-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2982103TF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamily