Church, Ashley

Church, Ashley is an sole proprietor health care provider with primary practice located at 1255 Providence Place Pkwy Ste 115 , Lexington KY 40511-8379. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Church, Ashley can be contacted via phone (859) 214-7440.

Contact Information

Primary practice address
1255 Providence Place Pkwy Ste 115 Lexington KY 40511-8379
Phone: (859) 214-7440
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 266863 Kentucky

Profile Details

NPI number 1558561902
LBN Legal business name Church, Ashley
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 2007
Last updated Nov 21st, 2023 - about 2 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 1558561902 NPPES
Kentucky MEDICAID 30610026

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