Healthcare Provider Details

I. General information

NPI: 1912463753
Provider Name (Legal Business Name): KAYLA ASHCRAFT LBS, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/18/2019
Last Update Date: 11/22/2020
Certification Date: 11/22/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 S MAIN ST
CHAMBERSBURG PA
17201-2224
US

IV. Provider business mailing address

200 N 7TH ST
LEBANON PA
17046-5040
US

V. Phone/Fax

Practice location:
  • Phone: 717-262-4969
  • Fax: 717-263-1647
Mailing address:
  • Phone: 717-272-5464
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC012859
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: