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Ashley Medora Le Grange, LMHC
Mental Health Counselor in Port St Lucie, Florida
NPI 1851814008

Ashley Medora Le Grange is a Mental Health Counselor based in Palm City, FL and is specialized in Mental Health. Ashley Medora Le Grange practices in Port St Lucie, FL and has the professional credentials of LMHC. The NPI Number for Ashley Medora Le Grange is 1851814008 and holds a License No. MH12264 (Florida).

The current practice location address for Ashley Medora Le Grange is 1801 Se Hillmoor Dr, Port St Lucie, FL and can be reached out via phone at 772-204-2895.

Location: 1801 Se Hillmoor Dr, Port St Lucie, FL, 34990-2581
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851814008
Provider Name
Ashley Medora Le Grange
Credential
LMHC
Provider Entity Type
Individual
Gender
Female
Address
1801 Se Hillmoor Dr, Port St Lucie, FL, 34990-2581
Phone Number
772-204-2895
Fax Number
Provider Enumeration Date
07/19/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MH12664 01 FL LMHC
institution
Provider Business Practice Location Address Details
Address
1801 Se Hillmoor Dr
City
Port St Lucie
State
Florida
Zip
34952-7553
Phone Number
772-204-2895
Fax Number
person
Provider Business Mailing Address Details
Address
1801 Se Hillmoor Dr
City
Port St Lucie
State
Florida
Zip
34952-7553
Phone Number
772-204-2895
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
MH12264 (Florida)
Definition
Definition to come...
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