Provider Demographics
NPI:1700145323
Name:COTONIO, ASHLEY ROBINSON (LPC)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:ROBINSON
Last Name:COTONIO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4 IVY GATES NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-4223
Mailing Address - Country:US
Mailing Address - Phone:404-931-3815
Mailing Address - Fax:280-567-5482
Practice Address - Street 1:2255 CUMBERLAND PKWY SE
Practice Address - Street 2:BUILDING 500, SUITE 300
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30339-4515
Practice Address - Country:US
Practice Address - Phone:404-931-3815
Practice Address - Fax:280-567-5482
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-16
Last Update Date:2016-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC007735101YP2500X
GAAPC002985101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional