MEDICARE: ASHLEY HAYDEN 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	21753	FL
2	101YM0800X	Mental Health Counselor	24211	FL

General Provider Information

NPI Number	:	1962128793
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY HAYDEN LMHC

Provider Business Mailing Address
First Line	:	7800 COLLINS AVE APT 503
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33141-6112
Country	:	US
Telephone Number	:	516-754-5102
Fax Number	:

Provider Business Practice Location Address
First Line	:	7800 COLLINS AVE APT 503
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33141-6112
Country	:	US
Telephone Number	:	516-754-5102
Fax Number	:

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

Provider Enumeration Date	:	10/13/2022
Last Update Date	:	10/16/2024

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