Healthcare Provider Details

I. General information

NPI: 1881163327
Provider Name (Legal Business Name): ASHLEY ANTHONY MS ED, LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/14/2018
Last Update Date: 03/19/2025
Certification Date: 03/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

136 WESTCHESTER DR STE 5
AUSTINTOWN OH
44515-3965
US

IV. Provider business mailing address

2980 BELMONT AVE
YOUNGSTOWN OH
44505-1834
US

V. Phone/Fax

Practice location:
  • Phone: 330-270-1400
  • Fax: 330-270-1404
Mailing address:
  • Phone: 330-759-2310
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberC.2204584
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberE.2505173
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: