Healthcare Provider Details

I. General information

NPI: 1992648372
Provider Name (Legal Business Name): ASHLEY VICARI COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2026
Last Update Date: 04/10/2026
Certification Date: 04/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1719 ASHLEY CIR STE 101
BOWLING GREEN KY
42104-5837
US

IV. Provider business mailing address

1719 ASHLEY CIR STE 101
BOWLING GREEN KY
42104-5837
US

V. Phone/Fax

Practice location:
  • Phone: 615-502-0396
  • Fax:
Mailing address:
  • Phone: 615-502-0396
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: ASHLEY DANIELLE VICARI
Title or Position: OWNER/THERAPIST
Credential: LPCC-S
Phone: 615-582-4174