Healthcare Provider Details

I. General information

NPI: 1588572994
Provider Name (Legal Business Name): ASHLEY L WARNER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 MONTROSE WEST AVE
COPLEY OH
44321-3121
US

IV. Provider business mailing address

155 MONTROSE WEST AVE
COPLEY OH
44321-3121
US

V. Phone/Fax

Practice location:
  • Phone: 855-747-4673
  • Fax: 330-280-5115
Mailing address:
  • Phone: 855-747-4673
  • Fax: 330-280-5115

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: