Healthcare Provider Details

I. General information

NPI: 1811349855
Provider Name (Legal Business Name): ASHLEY RIVERA LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/01/2016
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 CATALONIA AVE STE 303
CORAL GABLES FL
33134-6730
US

IV. Provider business mailing address

3301 NE 5TH AVE
MIAMI FL
33137-4053
US

V. Phone/Fax

Practice location:
  • Phone: 786-310-7460
  • Fax:
Mailing address:
  • Phone: 787-430-3651
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH27910
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: