MEDICARE: ASHLEY YORK M.ED.

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	101YP2500X	Professional Counselor	1700196	OH
2	101YP2500X	Professional Counselor	171346	KY

General Provider Information

NPI Number	:	1992041420
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY YORK M.ED.

Provider Business Mailing Address
First Line	:	8050 BECKETT CENTER DR STE 308
Second Line	:
City	:	WEST CHESTER
State	:	OH
Zip	:	45069-5027
Country	:	US
Telephone Number	:	513-860-2568
Fax Number	:	513-860-1658

Provider Business Practice Location Address
First Line	:	8050 BECKETT CENTER DR STE 308
Second Line	:
City	:	WEST CHESTER
State	:	OH
Zip	:	45069-5027
Country	:	US
Telephone Number	:	513-860-2568
Fax Number	:	513-860-1658

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

Provider Enumeration Date	:	01/03/2013
Last Update Date	:	08/08/2022

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