Healthcare Provider Details

I. General information

NPI: 1922811405
Provider Name (Legal Business Name): ASHLEY ESKENAZI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/29/2025
Last Update Date: 01/29/2025
Certification Date: 01/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22133 S DIXIE HWY
MIAMI FL
33170-2840
US

IV. Provider business mailing address

706 NE 191ST TER
MIAMI FL
33179-3974
US

V. Phone/Fax

Practice location:
  • Phone: 786-504-3119
  • Fax: 954-206-2835
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH25009
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: