Provider Demographics
NPI:1730980939
Name:CABBAGE, ASHLEY M (LMHC)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:M
Last Name:CABBAGE
Suffix:
Gender:
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:504 BROAD AVE
Mailing Address - Street 2:
Mailing Address - City:STANTON
Mailing Address - State:IA
Mailing Address - Zip Code:51573-2017
Mailing Address - Country:US
Mailing Address - Phone:712-370-7500
Mailing Address - Fax:
Practice Address - Street 1:600 W SHERIDAN AVE
Practice Address - Street 2:
Practice Address - City:SHENANDOAH
Practice Address - State:IA
Practice Address - Zip Code:51601-1708
Practice Address - Country:US
Practice Address - Phone:712-246-0159
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA117520101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health