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Provider Information for 1619631223


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ASHLEY ROYLES LCSW


Sex: Female

NPI: 1619631223
Last Updated: 2024-09-13
Certification Date: 2024-09-13

Details

NameValue
NPI1619631223
Enumeration Date2021-10-29
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 2250 THUNDERSTICK DR STE 1104
LEXINGTON, KY 40505-9009
United States

Phone: 859-254-1035 | Fax:859-254-2075
 
Primary Practice Address 2250 THUNDERSTICK DR STE 1104
LEXINGTON, KY 40505-9009
United States

Phone: 859-254-1035 | Fax:859-254-2075
 
Secondary Practice Address(es)

204 E MARKET ST # 2
LOUISVILLE, KY 40202-1218
United States

Phone: 502-588-4340 | Fax:
 

1030 BURLINGTON LN STE 3B
FRANKFORT, KY 40601-8444
United States

Phone: 859-254-1035 | Fax:859-254-2075
 

Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDKY7100998170
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - ClinicalKY259530