Provider Demographics
NPI:1467701052
Name:LEVERS, ASHLEY G (LMFT, PMH-C)
Entity Type:Individual
Prefix:MS
First Name:ASHLEY
Middle Name:G
Last Name:LEVERS
Suffix:
Gender:F
Credentials:LMFT, PMH-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1336 WESTGATE CENTER DR
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27103-2933
Mailing Address - Country:US
Mailing Address - Phone:336-916-7239
Mailing Address - Fax:336-347-4996
Practice Address - Street 1:1336 WESTGATE CENTER DR
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-2933
Practice Address - Country:US
Practice Address - Phone:336-916-7239
Practice Address - Fax:336-347-4996
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-29
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1472106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist