Healthcare Provider Details

I. General information

NPI: 1285413609
Provider Name (Legal Business Name): ASHLEY LYTLE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2023
Last Update Date: 06/09/2025
Certification Date: 06/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1011 E DEVONSHIRE AVE STE 201
HEMET CA
92543-3033
US

IV. Provider business mailing address

1011 E DEVONSHIRE AVE STE 201
HEMET CA
92543-3033
US

V. Phone/Fax

Practice location:
  • Phone: 909-599-1227
  • Fax:
Mailing address:
  • Phone: 909-599-1227
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberAPCC19483
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: