Provider Demographics
NPI:1457013476
Name:ALLETTE, ASHLEY LATRECE (MMFC)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:LATRECE
Last Name:ALLETTE
Suffix:
Gender:F
Credentials:MMFC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5211 SAPLING SPROUT DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32829-7413
Mailing Address - Country:US
Mailing Address - Phone:954-254-5495
Mailing Address - Fax:
Practice Address - Street 1:5211 SAPLING SPROUT DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32829-7413
Practice Address - Country:US
Practice Address - Phone:954-254-5495
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-07
Last Update Date:2021-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL101YM0800X, 171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health