Healthcare Provider Details

I. General information

NPI: 1174361992
Provider Name (Legal Business Name): ASHNA DAY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ASHNA SANGAR

II. Dates (important events)

Enumeration Date: 07/16/2024
Last Update Date: 07/16/2024
Certification Date: 07/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

636 SMUGGLERS NOTCH DR
LEXINGTON KY
40509-4393
US

IV. Provider business mailing address

2976 TRIVERTON PIKE DR STE 103
FITCHBURG WI
53711-5840
US

V. Phone/Fax

Practice location:
  • Phone: 608-709-6882
  • Fax:
Mailing address:
  • Phone: 608-467-2331
  • Fax: 608-284-7947

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number8227-125
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: