Provider Demographics
NPI:1871107524
Name:KIMBLE, ASHLEY KATHLEEN (LMHC)
Entity type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:KATHLEEN
Last Name:KIMBLE
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:MS
Other - First Name:ASHLEY
Other - Middle Name:KATHLEEN
Other - Last Name:MOREY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LP-MHC
Mailing Address - Street 1:115 LIBERTY ST.
Mailing Address - Street 2:
Mailing Address - City:BATH
Mailing Address - State:NY
Mailing Address - Zip Code:14810-1508
Mailing Address - Country:US
Mailing Address - Phone:607-664-2255
Mailing Address - Fax:607-664-2162
Practice Address - Street 1:114 CHESTNUT ST.
Practice Address - Street 2:
Practice Address - City:CORNING
Practice Address - State:NY
Practice Address - Zip Code:14830-0000
Practice Address - Country:US
Practice Address - Phone:607-937-6201
Practice Address - Fax:607-937-5553
Is Sole Proprietor?:No
Enumeration Date:2020-09-01
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health