=====================================================
General NPI Number Information
=====================================================
NPI Number | 1487081592
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SARA ELIZABETH WILSON ASHBY LPCC
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/03/2013
-----------------------------------------------------
Last Update Date | 12/18/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1215 SOUTHTOWN BLVD STE 304
-----------------------------------------------------
City | OWENSBORO
-----------------------------------------------------
State | KY
-----------------------------------------------------
Zip | 42301-7407
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 270-423-6845
-----------------------------------------------------
Fax | 270-423-6699
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1215 SOUTHTOWN BLVD STE 304
-----------------------------------------------------
City | OWENSBORO
-----------------------------------------------------
State | KY
-----------------------------------------------------
Zip | 42301-7407
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 270-423-6845
-----------------------------------------------------
Fax | 270-423-6699
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YP2500X
-----------------------------------------------------
Taxonomy Name | Professional Counselor
-----------------------------------------------------
License Number | 164141
-----------------------------------------------------
License Number State | KY
-----------------------------------------------------