Provider Demographics
NPI:1457854663
Name:ROBERTS, ASHLEY (LPCC)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:ROBERTS
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 PICKETT LN
Mailing Address - Street 2:
Mailing Address - City:MAYSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41056-9092
Mailing Address - Country:US
Mailing Address - Phone:606-375-8039
Mailing Address - Fax:
Practice Address - Street 1:1300 PICKETT LN
Practice Address - Street 2:
Practice Address - City:MAYSVILLE
Practice Address - State:KY
Practice Address - Zip Code:41056-9092
Practice Address - Country:US
Practice Address - Phone:606-375-8039
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-14
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.2404289101YP2500X
KY282343101YP2500X
KY240040101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional