Provider Demographics
NPI:1760835433
Name:FIORE, ASHLEY R (LMHC)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:R
Last Name:FIORE
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1115 ELLSWORTH BLVD
Mailing Address - Street 2:
Mailing Address - City:MALTA
Mailing Address - State:NY
Mailing Address - Zip Code:12020-3320
Mailing Address - Country:US
Mailing Address - Phone:845-224-4867
Mailing Address - Fax:
Practice Address - Street 1:1115 ELLSWORTH BLVD
Practice Address - Street 2:
Practice Address - City:MALTA
Practice Address - State:NY
Practice Address - Zip Code:12020-3320
Practice Address - Country:US
Practice Address - Phone:845-224-4867
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-19
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008339101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health