Basic Information
Provider Information
NPI: 1780021360
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FRANCHINO
FirstName: ASHLEY
MiddleName: MARIA
NamePrefix:  
NameSuffix:  
Credential: LMHC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4422 E COLUMBUS DR
Address2:  
City: TAMPA
State: FL
PostalCode: 336053233
CountryCode: US
TelephoneNumber: 8133844162
FaxNumber: 8137400823
Practice Location
Address1: 5707 N 22ND ST
Address2:  
City: TAMPA
State: FL
PostalCode: 336104350
CountryCode: US
TelephoneNumber: 8132398069
FaxNumber: 8132398514
Other Information
ProviderEnumerationDate: 05/23/2013
LastUpdateDate: 02/15/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

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

No ID Information.


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