Provider Demographics
NPI:1467972026
Name:COOPER, ASHLEY CELIA (RMHCI)
Entity Type:Individual
Prefix:MS
First Name:ASHLEY
Middle Name:CELIA
Last Name:COOPER
Suffix:
Gender:F
Credentials:RMHCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3028 VERDMONT LN
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-3457
Mailing Address - Country:US
Mailing Address - Phone:786-546-7255
Mailing Address - Fax:
Practice Address - Street 1:3028 VERDMONT LN
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414-3457
Practice Address - Country:US
Practice Address - Phone:786-546-7255
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH14190101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health