Provider Demographics
NPI:1912632225
Name:HUPCHICK, ASHLE BROOKE (LADC LPC)
Entity type:Individual
Prefix:MS
First Name:ASHLE
Middle Name:BROOKE
Last Name:HUPCHICK
Suffix:
Gender:
Credentials:LADC LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 BIRCHWOOD DR
Mailing Address - Street 2:
Mailing Address - City:NEW MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06776-2304
Mailing Address - Country:US
Mailing Address - Phone:203-917-0403
Mailing Address - Fax:860-813-7754
Practice Address - Street 1:12 BIRCHWOOD DR
Practice Address - Street 2:
Practice Address - City:NEW MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06776-2304
Practice Address - Country:US
Practice Address - Phone:203-917-0403
Practice Address - Fax:860-813-7754
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-20
Last Update Date:2025-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0001445101YA0400X
CT5697101YP2500X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)