Provider Demographics
NPI:1366911406
Name:CHRISTIAN, ASHLEE MECHELLE
Entity type:Individual
Prefix:MRS
First Name:ASHLEE
Middle Name:MECHELLE
Last Name:CHRISTIAN
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:ASHLEE
Other - Middle Name:MECHELLE
Other - Last Name:MARTIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:901 W RIMES CIR
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71201-3931
Mailing Address - Country:US
Mailing Address - Phone:404-520-6965
Mailing Address - Fax:318-410-1065
Practice Address - Street 1:1010 N 9TH ST
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201-5513
Practice Address - Country:US
Practice Address - Phone:318-410-1062
Practice Address - Fax:318-410-1065
Is Sole Proprietor?:No
Enumeration Date:2018-11-19
Last Update Date:2018-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator