Healthcare Provider Details

I. General information

NPI: 1982517454
Provider Name (Legal Business Name): ASHLEY PAIGE WORLEY LPAT-A
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3131 CUSTER DR STE 4
LEXINGTON KY
40517-4006
US

IV. Provider business mailing address

4508 PENTLALLA PT
LEXINGTON KY
40515-1575
US

V. Phone/Fax

Practice location:
  • Phone: 802-282-6096
  • Fax:
Mailing address:
  • Phone: 859-368-2306
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number311599
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: