ASHLEY MEDORA LE GRANGE (NPI# 1851814008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851814008 |
| Entity Type | Individual |
| Full Name | ASHLEY MEDORA LE GRANGE |
| Credential | LMHC |
| Practice Address |
1801 Se Hillmoor Dr Port St Lucie FL 34952-7553 |
| Mailing Address |
3793 Sw Pheasant Run Palm City FL 34990-2581 |
| Practice Telephone | 7722042895 |
| Mailing Telephone | 7722633974 |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2017-07-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH12264 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | LMHC | MH12664 | 01 |
| Street Address |
1801 SE HILLMOOR DR |
| City | PORT ST LUCIE |
| State | FL |
| Zip Code | 34952-7553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811994742 | Prithvi Raj Sawh | Pediatrics | 1801 Se Hillmoor Dr, Suite A105, Port St Lucie, FL 34952-7553 | 2005-07-07 |
| 1972040616 | Marvalee Allison | Nurse Practitioner | 1801 Se Hillmoor Dr, 108, Port St Lucie, FL 34952-7553 | 2017-01-19 |
| 1689127201 | Midway Ultrasound Diagnostic Services | Clinic/Center | 1801 Se Hillmoor Dr, Port St Lucie, FL 34952-7553 | 2016-07-31 |
| 1316490931 | Edward Francis Crooks | Spec/Tech, Cardiovascular | 1801 Se Hillmoor Dr, Suite C-207, Port St Lucie, FL 34952-7553 | 2016-07-31 |
| 1477967834 | Leriche Famius Louis | Nurse Practitioner | 1801 Se Hillmoor Dr, Suite B109, Port St Lucie, FL 34952-7553 | 2014-06-13 |
| 1306274998 | Accredited Medical Providers LLC | Urology | 1801 Se Hillmoor Dr, Suite A-103, Port St Lucie, FL 34952-7553 | 2013-10-17 |
| 1417383803 | Marvin Ishmeal Cohen | Nurse Practitioner | 1801 Se Hillmoor Dr, Suite B-105, Port St Lucie, FL 34952-7553 | 2013-09-18 |
| 1306278494 | Cherryl Williams | Acupuncturist | 1801 Se Hillmoor Dr, Suite 109-b, Port St Lucie, FL 34952-7553 | 2013-07-31 |
| 1962774018 | Allergy Specialists of Palm Beaches | Allergy & Immunology | 1801 Se Hillmoor Dr, C107, Port St Lucie, FL 34952-7553 | 2012-02-06 |
| 1386923068 | Healthy Heart Center Inc. | Internal Medicine | 1801 Se Hillmoor Dr, C208, Port St Lucie, FL 34952-7553 | 2011-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215587068 | Carehere LLC | Family Medicine | Carehere Clinic- St. Lucie Psl, 1680 Se Lyngate Drive, Port St Lucie, FL 34952 | 2019-09-13 |
| 1255998274 | Morningside Alf | Assisted Living Facility | 2233 Se Mroningside Alf, Port Saint Lucie, FL 34952 | 2019-05-24 |
| 1336611870 | Med Braces and Supplies, LLC | Durable Medical Equipment & Medical Supplies | 1484 Se Village Green Dr, Port St Lucie, FL 34952 | 2018-12-21 |
| 1689143794 | The Gift of Recovery, LLC | Counselor | 1801 Sw Hillmoor Drive, Suite C-101, Port St. Lucie, FL 34952 | 2018-11-19 |
| 1457830853 | Cathy L Sonier | Counselor | 357 Brazilian Circle, Port St Lucie, FL 34952 | 2018-08-07 |
| 1548756661 | Blo 7 Diabetes Institute Inc | Nutritionist | 1700 Sw Hillmoor Dr., Suite 305, Port St. Lucie, FL 34952 | 2018-07-02 |
| 1780194464 | Doctor's Choice Medical Center | Clinic/Center | 9164 S Us Highway 1, Port St Lucie, FL 34952 | 2017-10-06 |
| 1801305644 | Thandiwe Daley | Behavior Technician | 1935 Se Hillmoor Drive, Apt#159, Port St Lucie, FL 34952 | 2017-09-25 |
| 1700309408 | Lagrand Evan Andrews | Assistant Behavior Analyst | 265 Se Lenard Rd. Apartment 307, Port St. Lucie, FL 34952 | 2017-07-25 |
| 1578085148 | Lavetta S Ivey | Behavior Technician | 7190 Us Federal Hwy 1, Port Saint Lucie, FL 34952 | 2017-07-14 |
| Find all providers in zip 34952 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801403357 | Samantha Dunbar | Counselor | 2221 Se Mcmaster St, Port St Lucie, FL 34952-6845 | 2020-09-29 |
| 1629699129 | Justine Renee Sommers | Counselor | 131 Nw Swann Mill Cir, Port St Lucie, FL 34986-3591 | 2020-05-06 |
| 1457830853 | Cathy L Sonier | Counselor | 357 Brazilian Circle, Port St Lucie, FL 34952 | 2018-08-07 |
| 1184139123 | Malita Robinson | Counselor | 113 Se Whitmore Dr, Port St Lucie, FL 34984-3738 | 2017-12-13 |
| 1316456387 | Misty Brooke Rummage | Counselor | 354 Se Greenway Ter, Port St Lucie, FL 34983-2696 | 2017-09-21 |
| 1801312590 | Hazel Mentore | Counselor | 1358 Sw Century Ave, Port St Lucie, FL 34953 | 2017-08-15 |
| 1528580313 | Garland Anderson | Counselor | 2100 Se Hillmoor Dr Ste 205, Port St Lucie, FL 34952-8057 | 2017-07-13 |
| 1437689601 | Jacquelyn Morris | Counselor | 6041 Nw Wesley Rd, Port St Lucie, FL 34986-3752 | 2017-06-19 |
| 1194250753 | Magaly Marin | Counselor | 562 Sw Violet Ave, Port St Lucie, FL 34983-8739 | 2017-04-20 |
| 1861923815 | Vivas Counseling Services, LLC | Counselor | 6550 S Federal Hwy, Port St Lucie, FL 34952-9031 | 2017-03-22 |
| Find all providers in PORT ST LUCIE | ||||
| City | PORT ST LUCIE |
| Zip Code | 34952 |
Please comment or provide details below to improve the information on ASHLEY MEDORA LE GRANGE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.