Healthcare Provider Details

I. General information

NPI: 1841771821
Provider Name (Legal Business Name): MRS. ASHLEY TAYLOR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/27/2018
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 W NEW YORK AVE
DELAND FL
32720-5239
US

IV. Provider business mailing address

650 W NEW YORK AVE
DELAND FL
32720-5239
US

V. Phone/Fax

Practice location:
  • Phone: 386-846-3671
  • Fax:
Mailing address:
  • Phone: 386-846-3671
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: