Healthcare Provider Details

I. General information

NPI: 1073989331
Provider Name (Legal Business Name): ASHLEE E EDWARDS MS ED, LPCC-S
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ASHLEE E CHAN MS ED, LPC

II. Dates (important events)

Enumeration Date: 08/20/2015
Last Update Date: 01/05/2024
Certification Date: 01/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45875 BELL SCHOOL RD STE B
EAST LIVERPOOL OH
43920-8728
US

IV. Provider business mailing address

2980 BELMONT AVE
YOUNGSTOWN OH
44505-1834
US

V. Phone/Fax

Practice location:
  • Phone: 330-397-6007
  • Fax: 234-254-5655
Mailing address:
  • Phone: 330-759-0276
  • Fax: 330-759-0030

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberC.1500529
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE.1800931-SUPV
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: