Healthcare Provider Details

I. General information

NPI: 1689269821
Provider Name (Legal Business Name): ELIZABETH ASHLEY SIMPSON LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ELIZABETH ASHLEY BUTT

II. Dates (important events)

Enumeration Date: 03/09/2021
Last Update Date: 06/13/2025
Certification Date: 06/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

95 S LAUREL RD STE 1
LONDON KY
40744-8300
US

IV. Provider business mailing address

95 S LAUREL RD STE 1
LONDON KY
40744-8300
US

V. Phone/Fax

Practice location:
  • Phone: 606-770-5086
  • Fax: 863-456-1301
Mailing address:
  • Phone: 606-770-5086
  • Fax: 863-456-1301

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:
Title or Position:
Credential:
Phone: