Ashlock, Patricia

Ashlock, Patricia is an sole proprietor health care provider with primary practice located at 9415 E Harry St Suite 404, Wichita KS 67207-5089. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Ashlock, Patricia can be contacted via phone (316) 788-1664.

Contact Information

Primary practice address
9415 E Harry St Suite 404 Wichita KS 67207-5089
Phone: (316) 788-1664
Fax: (316) 788-1670
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 259 Kansas
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 5536 Kansas

Profile Details

NPI number 1801328307
LBN Legal business name Ashlock, Patricia
Credentials LMSW, LCAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2017
Last updated Apr 3rd, 2017 - about 8 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 1801328307 NPPES
Kansas MEDICAID 200623440A

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