Most Relevant Information
Provider Data
| NPI Number: | 1003459660 |
| Provider Name: | ASHLEY BROOK SMITH MA, LMHC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | MH21519 |
Most Important Dates
| Enumeration Date: | 10/25/2019 |
| Last Updated: | 12/12/2022 |
Provider Practice Location
1924 N C 470
LAKE PANASOFFKEE
FL
335386154
Practice Location Phone/Fax
| Phone: | 7193441503 |
| Fax: |
Provider Mailing Location
1924 N C 470
LAKE PANASOFFKEE
FL
335386154
Provider Mailing Phone/Fax
| Phone: | 7193441503 |
| Fax: |