Healthcare Provider Details

I. General information

NPI: 1376197145
Provider Name (Legal Business Name): ASHLEY RHODES-COURTER LCSW, MSW, BC-TMH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/30/2019
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8487 9TH ST N
ST PETERSBURG FL
33702-3503
US

IV. Provider business mailing address

8487 9TH ST N
ST PETERSBURG FL
33702-3503
US

V. Phone/Fax

Practice location:
  • Phone: 352-613-6366
  • Fax:
Mailing address:
  • Phone: 352-613-6366
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberRBT-25-438989
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-25-438989
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW18146
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: