Provider Demographics
NPI:1881201556
Name:VAUGHAN, ASHLEY CHRISTINA (MS)
Entity Type:Individual
Prefix:MISS
First Name:ASHLEY
Middle Name:CHRISTINA
Last Name:VAUGHAN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8146 NATURES WAY UNIT 24
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD RANCH
Mailing Address - State:FL
Mailing Address - Zip Code:34202-4137
Mailing Address - Country:US
Mailing Address - Phone:239-297-9920
Mailing Address - Fax:
Practice Address - Street 1:8146 NATURES WAY UNIT 24
Practice Address - Street 2:
Practice Address - City:LAKEWOOD RANCH
Practice Address - State:FL
Practice Address - Zip Code:34202-4137
Practice Address - Country:US
Practice Address - Phone:239-297-9920
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-28
Last Update Date:2020-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health