Provider Demographics
NPI:1962875799
Name:ACCARDI, ASHLEY (LMHC)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:ACCARDI
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 1:16 HIGDON CT NW
Mailing Address - Street 2:
Mailing Address - City:FORT WALTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32547-1610
Mailing Address - Country:US
Mailing Address - Phone:850-259-9312
Mailing Address - Fax:
Practice Address - Street 1:16 HIGDON CT NW
Practice Address - Street 2:
Practice Address - City:FORT WALTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:32547-1610
Practice Address - Country:US
Practice Address - Phone:850-259-9312
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-02
Last Update Date:2015-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH13285101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor