Individual
ASHLYNN BISHOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
829 E GEORGIA AVE STE 3, RUSTON, LA 71270-3901
(318) 242-0730
Mailing address
154 JACKSON RD, SIMSBORO, LA 71275-3599
(318) 243-9937
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
2084P0800X
Psychiatry Physician
1
LA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
1
LA
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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