Provider Demographics
NPI:1760870331
Name:BIDWELL, ASHLEY NOELLE (LPCA, LCADC)
Entity Type:Individual
Prefix:MISS
First Name:ASHLEY
Middle Name:NOELLE
Last Name:BIDWELL
Suffix:
Gender:F
Credentials:LPCA, LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 MISSOURI CT
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:KY
Mailing Address - Zip Code:42211-8603
Mailing Address - Country:US
Mailing Address - Phone:270-314-7301
Mailing Address - Fax:
Practice Address - Street 1:306 W MAIN ST STE 512
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:KY
Practice Address - Zip Code:40601-1840
Practice Address - Country:US
Practice Address - Phone:574-546-1900
Practice Address - Fax:574-546-1999
Is Sole Proprietor?:No
Enumeration Date:2015-01-05
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY168133101YA0400X
KY172848101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY172848OtherKY BOARD OF LICENSED PROFESSIONAL COUNSELORS
KY168133OtherKY BOARD OF ALCOHOL AND DRUG COUNSELORS