Provider Demographics
NPI:1114228608
Name:MAHONEY, ASHLEY AHL (MED, LMHC, PMH-C)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:AHL
Last Name:MAHONEY
Suffix:
Gender:F
Credentials:MED, LMHC, PMH-C
Other - Prefix:MS
Other - First Name:ASHLEY
Other - Middle Name:ELIZABETH
Other - Last Name:AHL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MED
Mailing Address - Street 1:PO BOX 1191
Mailing Address - Street 2:
Mailing Address - City:NEWBURYPORT
Mailing Address - State:MA
Mailing Address - Zip Code:01950-6191
Mailing Address - Country:US
Mailing Address - Phone:978-482-7233
Mailing Address - Fax:
Practice Address - Street 1:25 STATE ST STE 201
Practice Address - Street 2:
Practice Address - City:NEWBURYPORT
Practice Address - State:MA
Practice Address - Zip Code:01950-6611
Practice Address - Country:US
Practice Address - Phone:978-482-7233
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-15
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
MA8145101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health