Provider Demographics
NPI:1366870354
Name:FIRE, ASHLEY (LPCC-S)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:FIRE
Suffix:
Gender:F
Credentials:LPCC-S
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:
Other - Last Name:FIRE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPCC-S
Mailing Address - Street 1:1672 MAPLE RD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44121-1732
Mailing Address - Country:US
Mailing Address - Phone:440-413-9392
Mailing Address - Fax:
Practice Address - Street 1:11201 SHAKER BLVD STE 102
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44104-3833
Practice Address - Country:US
Practice Address - Phone:440-413-9392
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-29
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.110579-S101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0174843Medicaid