Healthcare Provider Details

I. General information

NPI: 1114569720
Provider Name (Legal Business Name): ASHLEIGH AURELIA ARMSTRONG POPE LSCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/15/2019
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

719 MASSACHUSETTS ST STE 125
LAWRENCE KS
66044-2345
US

IV. Provider business mailing address

719 MASSACHUSETTS ST STE 125
LAWRENCE KS
66044-2345
US

V. Phone/Fax

Practice location:
  • Phone: 785-764-5170
  • Fax:
Mailing address:
  • Phone: 785-764-5170
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number07368
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: