Provider Demographics
NPI:1285330514
Name:SUMRALL, ASHLEE (LPC)
Entity type:Individual
Prefix:
First Name:ASHLEE
Middle Name:
Last Name:SUMRALL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22811 ACACIA DR
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:TX
Mailing Address - Zip Code:77355-6225
Mailing Address - Country:US
Mailing Address - Phone:281-639-0781
Mailing Address - Fax:
Practice Address - Street 1:825 VILLAGE SQUARE DR STE 2
Practice Address - Street 2:
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375-5083
Practice Address - Country:US
Practice Address - Phone:281-624-5538
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-07
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX90568101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional