Provider Demographics
NPI:1801582267
Name:RIDENOUR, ASHLEY KAY
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:KAY
Last Name:RIDENOUR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 813
Mailing Address - Street 2:
Mailing Address - City:TAYLORSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28681-0813
Mailing Address - Country:US
Mailing Address - Phone:828-999-2768
Mailing Address - Fax:
Practice Address - Street 1:105 HIDDENITE CHURCH RD
Practice Address - Street 2:
Practice Address - City:HIDDENITE
Practice Address - State:NC
Practice Address - Zip Code:28636-8168
Practice Address - Country:US
Practice Address - Phone:828-999-2768
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-17
Last Update Date:2023-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional