Provider Demographics
NPI:1336750694
Name:ASHRAF, MADIHA (LPC-I)
Entity type:Individual
Prefix:
First Name:MADIHA
Middle Name:
Last Name:ASHRAF
Suffix:
Gender:F
Credentials:LPC-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5016 RANDOLPH ST
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75074-0308
Mailing Address - Country:US
Mailing Address - Phone:469-450-8609
Mailing Address - Fax:
Practice Address - Street 1:5016 RANDOLPH ST
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75074-0308
Practice Address - Country:US
Practice Address - Phone:469-450-8609
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-11
Last Update Date:2020-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX84183101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health