Provider Demographics
NPI:1992041420
Name:YORK, ASHLEY (MED)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:YORK
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:
Other - Last Name:GRINSTEAD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8050 BECKETT CENTER DR STE 308
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-5027
Mailing Address - Country:US
Mailing Address - Phone:513-860-2568
Mailing Address - Fax:513-860-1658
Practice Address - Street 1:8050 BECKETT CENTER DR STE 308
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-5027
Practice Address - Country:US
Practice Address - Phone:513-860-2568
Practice Address - Fax:513-860-1658
Is Sole Proprietor?:No
Enumeration Date:2013-01-03
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1700196101YP2500X
KY171346101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY6101161458OtherTAX ID