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NPI Code Detail

MEDICARE: MS. ASHLEY CELIA COOPER RMHCI

MEDICARE: MS. ASHLEY CELIA COOPER RMHCI
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
1101YM0800XMental Health CounselorIMH14190FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1467972026
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ASHLEY CELIA COOPER RMHCI
Provider Business Mailing Address
First Line : 3028 VERDMONT LN
Second Line :
City : WELLINGTON
State : FL
Zip : 33414-3457
Country : US
Telephone Number : 786-546-7255
Fax Number :
Provider Business Practice Location Address
First Line : 6803 LAKE WORTH RD # 215
Second Line :
City : GREENACRES
State : FL
Zip : 33467-2979
Country : US
Telephone Number : 786-546-7255
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2017
Last Update Date : 10/30/2024

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