Provider Demographics
NPI:1336774710
Name:STOCK, ASHLEY ANN (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:ANN
Last Name:STOCK
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:MRS
Other - First Name:ASHLEY
Other - Middle Name:ANN
Other - Last Name:HELMPRECHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2007 FOXGLOVE CIR
Mailing Address - Street 2:
Mailing Address - City:BELLPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11713-3073
Mailing Address - Country:US
Mailing Address - Phone:631-743-6132
Mailing Address - Fax:
Practice Address - Street 1:2007 FOXGLOVE CIR
Practice Address - Street 2:
Practice Address - City:BELLPORT
Practice Address - State:NY
Practice Address - Zip Code:11713-3073
Practice Address - Country:US
Practice Address - Phone:631-743-6132
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-06
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009025101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health