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Individual

ASHLEY CHURCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1255 PROVIDENCE PLACE PKWY STE 115, LEXINGTON, KY 40511-8379
(859) 214-7440
Mailing address
1255 PROVIDENCE PLACE PKWY STE 115, LEXINGTON, KY 40511-8379
(859) 214-7440

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
266863
KY
101YP2500X
Professional Counselor
Primary
266863
KY
103T00000X
Psychologist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30610026
KY
Enumeration date
07/24/2007
Last updated
02/04/2026
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