Provider Demographics
NPI:1962130823
Name:RIDLEHOOVER, ASHLEY FRANCES (LPC-A)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:FRANCES
Last Name:RIDLEHOOVER
Suffix:
Gender:F
Credentials:LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3111 HARRIS PARK AVE UNIT B
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78705-3123
Mailing Address - Country:US
Mailing Address - Phone:512-496-3664
Mailing Address - Fax:
Practice Address - Street 1:3111 HARRIS PARK AVE UNIT B
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-3123
Practice Address - Country:US
Practice Address - Phone:512-496-3664
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-09
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX89345101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor