MEDICARE: MS. ASHLEY B SMITH MA, LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	MH21519	FL

General Provider Information

NPI Number	:	1003459660
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ASHLEY B SMITH MA, LMHC

Provider Business Mailing Address
First Line	:	1924 N C 470
Second Line	:
City	:	LAKE PANASOFFKEE
State	:	FL
Zip	:	33538-6154
Country	:	US
Telephone Number	:	754-273-7584
Fax Number	:

Provider Business Practice Location Address
First Line	:	1924 N C 470
Second Line	:
City	:	LAKE PANASOFFKEE
State	:	FL
Zip	:	33538-6154
Country	:	US
Telephone Number	:	754-273-7584
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/25/2019
Last Update Date	:	02/03/2026

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