MEDICARE: ASHLEY A MONACHINO

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	C.2405922-TRNE	OH

General Provider Information

NPI Number	:	1487486486
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY A MONACHINO

Provider Business Mailing Address
First Line	:	9217 STATE ROUTE 43 STE 220
Second Line	:
City	:	STREETSBORO
State	:	OH
Zip	:	44241-5371
Country	:	US
Telephone Number	:	330-422-9005
Fax Number	:

Provider Business Practice Location Address
First Line	:	9217 STATE ROUTE 43 STE 220
Second Line	:
City	:	STREETSBORO
State	:	OH
Zip	:	44241-5371
Country	:	US
Telephone Number	:	330-442-9005
Fax Number	:

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

Provider Enumeration Date	:	08/17/2024
Last Update Date	:	08/19/2024

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Directions to “ ASHLEY A MONACHINO ” Practice Location

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