Provider Demographics
NPI:1184902124
Name:SIZEMORE, ASHLEY ANN (LCADC)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:ANN
Last Name:SIZEMORE
Suffix:
Gender:
Credentials:LCADC
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:
Other - Last Name:THOMAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2901 PIGEON ROOST RD
Mailing Address - Street 2:
Mailing Address - City:RUSH
Mailing Address - State:KY
Mailing Address - Zip Code:41168-8132
Mailing Address - Country:US
Mailing Address - Phone:606-928-6648
Mailing Address - Fax:606-928-1056
Practice Address - Street 1:106 OSBORNE WAY STE B
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:KY
Practice Address - Zip Code:40324-9636
Practice Address - Country:US
Practice Address - Phone:502-735-0400
Practice Address - Fax:606-547-4295
Is Sole Proprietor?:No
Enumeration Date:2011-07-25
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY288004101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)