Provider Demographics
NPI:1215701420
Name:CURTIS, ASHLEY ALTIANA (LMHCA)
Entity type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:ALTIANA
Last Name:CURTIS
Suffix:
Gender:F
Credentials:LMHCA
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:ALTIANA
Other - Last Name:COUNCIL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:100 N HOWARD ST STE W
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99201-0508
Mailing Address - Country:US
Mailing Address - Phone:404-910-2190
Mailing Address - Fax:
Practice Address - Street 1:5550 N 95TH AVE APT 2116
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85305-3083
Practice Address - Country:US
Practice Address - Phone:314-591-9884
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-08
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC61492979101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health