Provider Demographics
NPI:1174763296
Name:ASHLOCK COUNSELING, PLLC
Entity type:Organization
Organization Name:ASHLOCK COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GENE
Authorized Official - Middle Name:
Authorized Official - Last Name:ASHLOCK
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:512-520-2543
Mailing Address - Street 1:930 S BELL BLVD
Mailing Address - Street 2:SUITE 301
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-3975
Mailing Address - Country:US
Mailing Address - Phone:512-520-2543
Mailing Address - Fax:512-777-2987
Practice Address - Street 1:930 S BELL BLVD
Practice Address - Street 2:SUITE 301
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-3975
Practice Address - Country:US
Practice Address - Phone:512-520-2543
Practice Address - Fax:512-777-2987
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-02
Last Update Date:2012-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)