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1225466683 NPI number — ASHLEY MARIE YOUNG LMHC

NPI Number: 1225466683
Health Care Provider/Practitioner: ASHLEY MARIE YOUNG LMHC

Information about “1225466683” NPI (ASHLEY MARIE YOUNG LMHC) exists in 1225466683 in HTML format HTML  |  1225466683 in plain Text format TXT  |  1225466683 in PDF (Portable Document Format) PDF  |  1225466683 in an XML format XML  formats.

NPI Number : 1225466683 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1225466683",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "YOUNG",
    "FirstName": "ASHLEY",
    "MiddleName": "MARIE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "LMHC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "YOUNG",
    "OtherFirstName": "ASHLEY",
    "OtherMiddleName": "MARIE",
    "OtherNamePrefix": "MRS.",
    "OtherNameSuffix": null,
    "OtherCredential": "LMHC",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "742 MACKENZIE CIR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAINT AUGUSTINE",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32092-3450",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "863-835-0459",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2700 WESTHALL LN STE 207",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MAITLAND",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32751-7478",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "863-835-0459",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/23/2013",
    "LastUpdateDate": "07/18/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YM0800X",
        "TaxonomyName": "Mental Health Counselor",
        "LicenseNumber": "MH14238",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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