Provider Demographics
NPI:1659068666
Name:KAPPELMAN, ASHLEY ELIZABETH ROSE (RMHCI)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:ELIZABETH ROSE
Last Name:KAPPELMAN
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 1:3410 PROCK DR
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32311-3928
Mailing Address - Country:US
Mailing Address - Phone:828-380-2985
Mailing Address - Fax:
Practice Address - Street 1:3410 PROCK DR
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32311-3928
Practice Address - Country:US
Practice Address - Phone:828-380-2985
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-19
Last Update Date:2023-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH20062101YM0800X
FLMH22905101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health