Healthcare Provider Details

I. General information

NPI: 1679482897
Provider Name (Legal Business Name): ASHLEE DOERR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 KENT RD
ST AUGUSTINE FL
32086-6350
US

IV. Provider business mailing address

7940 COUNTY ROAD 208
ST AUGUSTINE FL
32092-0381
US

V. Phone/Fax

Practice location:
  • Phone: 407-865-3428
  • Fax:
Mailing address:
  • Phone: 407-865-3428
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: