Provider Demographics
NPI:1205142742
Name:BROWN, ASHLEY LYNNE (LMHC)
Entity type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:LYNNE
Last Name:BROWN
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 1:113 HOLLYWOOD BLVD NW
Mailing Address - Street 2:SUITE 205
Mailing Address - City:FORT WALTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32548-4723
Mailing Address - Country:US
Mailing Address - Phone:850-226-6430
Mailing Address - Fax:850-254-1986
Practice Address - Street 1:113 HOLLYWOOD BLVD NW
Practice Address - Street 2:SUITE 205
Practice Address - City:FORT WALTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:32548-4723
Practice Address - Country:US
Practice Address - Phone:850-226-6430
Practice Address - Fax:850-254-1986
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-22
Last Update Date:2010-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 9644101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health