Provider Demographics
NPI:1205348224
Name:BROYLES, ASHLEY ANN (MS, LPC)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:ANN
Last Name:BROYLES
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:ANN
Other - Last Name:HARTWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7447 W CREST LN
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85310-5623
Mailing Address - Country:US
Mailing Address - Phone:602-456-1240
Mailing Address - Fax:
Practice Address - Street 1:2111 E HIGHLAND AVE STE B200
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016-4741
Practice Address - Country:US
Practice Address - Phone:602-456-1240
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-31
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-19585101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional