MEDICARE: ASHLEY ELIZABETH LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1225801699
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASHLEY ELIZABETH LLC

Provider Business Mailing Address
First Line	:	7457 FRANKLIN RD STE 304
Second Line	:
City	:	BLOOMFIELD HILLS
State	:	MI
Zip	:	48301-3608
Country	:	US
Telephone Number	:	248-228-4576
Fax Number	:

Provider Business Practice Location Address
First Line	:	7457 FRANKLIN RD STE 304
Second Line	:
City	:	BLOOMFIELD HILLS
State	:	MI
Zip	:	48301-3608
Country	:	US
Telephone Number	:	248-228-4576
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. ASHLEY DROGS
Credential	:	LMSW
Telephone Number	:	248-228-4576

Provider Enumeration Date	:	11/06/2023
Last Update Date	:	11/06/2023

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Directions to “ASHLEY ELIZABETH LLC ” Practice Location

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