MEDICARE: MS. ASHLEY PECORELLI 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	013786	NY

General Provider Information

NPI Number	:	1306504568
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ASHLEY PECORELLI LMHC

Provider Business Mailing Address
First Line	:	1205 MARIPOSA AVE APT 431
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33146-3203
Country	:	US
Telephone Number	:	646-820-6607
Fax Number	:

Provider Business Practice Location Address
First Line	:	1205 MARIPOSA AVE APT 431
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33146-3203
Country	:	US
Telephone Number	:	646-820-6607
Fax Number	:

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

Provider Enumeration Date	:	12/06/2021
Last Update Date	:	12/06/2023

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