Provider Demographics
NPI:1508636036
Name:ASHLEY WAITHE COUNSELING AND WELLNESS LLC
Entity Type:Organization
Organization Name:ASHLEY WAITHE COUNSELING AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:WAITHE
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:386-972-2499
Mailing Address - Street 1:12004 NW 164TH TER
Mailing Address - Street 2:
Mailing Address - City:ALACHUA
Mailing Address - State:FL
Mailing Address - Zip Code:32615-6459
Mailing Address - Country:US
Mailing Address - Phone:386-972-2499
Mailing Address - Fax:
Practice Address - Street 1:101 NW 75TH ST STE 1
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32607-6665
Practice Address - Country:US
Practice Address - Phone:352-922-3676
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ASHLEY WAITHE COUNSELING AND WELLNESS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-01-05
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty