Healthcare Provider Details

I. General information

NPI: 1790187102
Provider Name (Legal Business Name): ASHLEE MARIE REED LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/17/2014
Last Update Date: 10/20/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

340 OIL HILL RD
EL DORADO KS
67042-3352
US

IV. Provider business mailing address

520 E AUGUSTA AVE
AUGUSTA KS
67010-2100
US

V. Phone/Fax

Practice location:
  • Phone: 316-452-6551
  • Fax:
Mailing address:
  • Phone: 316-775-5491
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number7566
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: