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NPI Code Detail

MEDICARE: ASHLEA SPOONAMORE

MEDICARE: ASHLEA SPOONAMORE
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
1101YM0800XMental Health Counselor290105KY

General Provider Information

NPI Number : 1275460446
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEA SPOONAMORE
Provider Business Mailing Address
First Line : 305 EDWARDS RD
Second Line :
City : SOMERSET
State : KY
Zip : 42501-5808
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 200 BELMONT AVE
Second Line :
City : SOMERSET
State : KY
Zip : 42501-2419
Country : US
Telephone Number : 606-687-2038
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2026
Last Update Date : 05/04/2026

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Directions to “ ASHLEA SPOONAMORE ” Practice Location

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