Basic Information
Provider Information
NPI: 1821692724
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ASHTON
FirstName: SPRING
MiddleName: DENISE
NamePrefix:  
NameSuffix:  
Credential: LPCC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: GIRDLER
OtherFirstName: SPRING
OtherMiddleName:  
OtherNamePrefix: MS.
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 1
Mailing Information
Address1: 10401 LINN STATION RD STE 100
Address2:  
City: LOUISVILLE
State: KY
PostalCode: 402233842
CountryCode: US
TelephoneNumber: 5025898600
FaxNumber:  
Practice Location
Address1: 600 S PRESTON ST
Address2:  
City: LOUISVILLE
State: KY
PostalCode: 402021716
CountryCode: US
TelephoneNumber: 5025833951
FaxNumber:  
Other Information
ProviderEnumerationDate: 11/23/2020
LastUpdateDate: 11/23/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 11/23/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YP2500X  Y Behavioral Health & Social Service ProvidersCounselorProfessional

No ID Information.


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