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
Phone: (870) 483-4003
Fax: (870) 483-4009
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1548514839 | NPPES |
Arkansas | Other | 5BY62 | BCBS |
Arkansas | MEDICAID | 194244795 | BCBS |
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