Basic Information
Provider Information
NPI: 1093161267
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: APLIN
FirstName: ASHLEY
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1 PIERREPONT PLZ
Address2: SUITE 901
City: BROOKLYN
State: NY
PostalCode: 112012790
CountryCode: US
TelephoneNumber: 2125296445
FaxNumber:  
Practice Location
Address1: 1001 16TH ST S
Address2:  
City: ST PETERSBURG
State: FL
PostalCode: 337052231
CountryCode: US
TelephoneNumber: 7273277656
FaxNumber: 7273222130
Other Information
ProviderEnumerationDate: 05/06/2016
LastUpdateDate: 01/07/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 01/07/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YM0800X FLY Behavioral Health & Social Service ProvidersCounselorMental Health

No ID Information.


Home