Madden, Ashley Deshae

Madden, Ashley Deshae is an individual health care provider with primary practice located at 1704 Highway 69 West , Trumann AR 72472-2029. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Madden, Ashley Deshae can be contacted via phone (870) 483-4003.

Contact Information

Primary practice address
1704 Highway 69 West Trumann AR 72472-2029
Fax: (870) 483-4009
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6907-C Arkansas

Profile Details

NPI number 1548514839
LBN Legal business name Madden, Ashley Deshae
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2012
Last updated May 8th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548514839 NPPES
Arkansas Other 5BY62 BCBS
Arkansas MEDICAID 194244795 BCBS

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