Healthcare Provider Details

I. General information

NPI: 1518886035
Provider Name (Legal Business Name): AFTERGLOW BEHAVIORAL & SEXUAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2016 ARISTOCRAT BLVD
INDEPENDENCE KY
41051-8117
US

IV. Provider business mailing address

2016 ARISTOCRAT BLVD
INDEPENDENCE KY
41051-8117
US

V. Phone/Fax

Practice location:
  • Phone: 859-955-8852
  • Fax:
Mailing address:
  • Phone: 859-955-8852
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: DR. RYAN AYERS
Title or Position: CLINICAL LEAD AND FOUNDER
Credential: LCSW
Phone: 859-955-8852