Healthcare Provider Details

I. General information

NPI: 1710544804
Provider Name (Legal Business Name): ASHLEIGH ACKER MS, MFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/23/2019
Last Update Date: 06/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15200 S JOG RD STE 303
DELRAY BEACH FL
33446-1249
US

IV. Provider business mailing address

5590 WELLESLEY PARK DR APT 204
BOCA RATON FL
33433-6760
US

V. Phone/Fax

Practice location:
  • Phone: 561-503-3059
  • Fax:
Mailing address:
  • Phone: 754-444-6317
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: