MEDICARE: ASHLEY D WILES M.S.

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	101YM0800X	Mental Health Counselor	732	KS

General Provider Information

NPI Number	:	1336175819
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY D WILES M.S.

Provider Business Mailing Address
First Line	:	1715 E 1117 RD
Second Line	:
City	:	LAWRENCE
State	:	KS
Zip	:	66049-9705
Country	:	US
Telephone Number	:	785-820-6882
Fax Number	:

Provider Business Practice Location Address
First Line	:	1715 E 1117 RD
Second Line	:
City	:	LAWRENCE
State	:	KS
Zip	:	66049-9705
Country	:	US
Telephone Number	:	785-820-6882
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/25/2006
Last Update Date	:	09/25/2025

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