Provider Demographics
NPI:1700234275
Name:BERNING, ASHLEY ARDEN (LAC)
Entity Type:Individual
Prefix:MISS
First Name:ASHLEY
Middle Name:ARDEN
Last Name:BERNING
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 SW TOPEKA BLVD
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66612-1818
Mailing Address - Country:US
Mailing Address - Phone:785-232-8623
Mailing Address - Fax:785-232-8631
Practice Address - Street 1:1401 SW TOPEKA BLVD
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66612-1818
Practice Address - Country:US
Practice Address - Phone:785-232-8623
Practice Address - Fax:785-232-8631
Is Sole Proprietor?:No
Enumeration Date:2016-05-25
Last Update Date:2016-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1347101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)