Provider Demographics
NPI:1588388540
Name:LESPERANCE, ASHLEY ISABELLA (LMHC)
Entity type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:ISABELLA
Last Name:LESPERANCE
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:276 MILL RD
Mailing Address - Street 2:
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11581-2936
Mailing Address - Country:US
Mailing Address - Phone:347-415-1353
Mailing Address - Fax:
Practice Address - Street 1:276 MILL RD
Practice Address - Street 2:
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11581-2936
Practice Address - Country:US
Practice Address - Phone:347-443-8840
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-03
Last Update Date:2024-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012840101Y00000X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor