Provider Demographics
NPI:1972176196
Name:NORTH, ASHLEY MCCORMICK (LMHC)
Entity type:Individual
Prefix:MS
First Name:ASHLEY
Middle Name:MCCORMICK
Last Name:NORTH
Suffix:
Gender:
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4407 TALL PINES LN
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBURG
Mailing Address - State:FL
Mailing Address - Zip Code:32068-6361
Mailing Address - Country:US
Mailing Address - Phone:352-636-5294
Mailing Address - Fax:
Practice Address - Street 1:4407 TALL PINES LN
Practice Address - Street 2:
Practice Address - City:MIDDLEBURG
Practice Address - State:FL
Practice Address - Zip Code:32068-6361
Practice Address - Country:US
Practice Address - Phone:352-636-5294
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-24
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH-7642101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health