Provider Demographics
NPI:1710316021
Name:STEWART, ASHLEE S (LPCC)
Entity Type:Individual
Prefix:MS
First Name:ASHLEE
Middle Name:S
Last Name:STEWART
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:ASHLEE
Other - Middle Name:S
Other - Last Name:ALLEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPCC
Mailing Address - Street 1:2700 STANLEY GAULT PKWY STE 129
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40223-5176
Mailing Address - Country:US
Mailing Address - Phone:502-253-4900
Mailing Address - Fax:502-489-5751
Practice Address - Street 1:789 EASTERN BYP
Practice Address - Street 2:SUITE 23
Practice Address - City:RICHMOND
Practice Address - State:KY
Practice Address - Zip Code:40475-2415
Practice Address - Country:US
Practice Address - Phone:583-544-8171
Practice Address - Fax:859-544-8197
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-06
Last Update Date:2019-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY164564101YP2500X
KY1905101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100394370Medicaid