Provider Demographics
NPI:1770240657
Name:STICKNEY, ASHLEI LORAINE (MSW, RCSWI)
Entity type:Individual
Prefix:
First Name:ASHLEI
Middle Name:LORAINE
Last Name:STICKNEY
Suffix:
Gender:F
Credentials:MSW, RCSWI
Other - Prefix:
Other - First Name:ASHLEI
Other - Middle Name:LORAINE
Other - Last Name:TOWLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW, RCSWI
Mailing Address - Street 1:584 MALABAR RD SW APT 101
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32907-3321
Mailing Address - Country:US
Mailing Address - Phone:321-456-6316
Mailing Address - Fax:
Practice Address - Street 1:584 MALABAR RD SW APT 101
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32907-3321
Practice Address - Country:US
Practice Address - Phone:321-456-6316
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-26
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLISW17306101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health