Provider Demographics
NPI:1497430441
Name:VALDOVINOS, ASHLYNE RENE (LCSW)
Entity Type:Individual
Prefix:
First Name:ASHLYNE
Middle Name:RENE
Last Name:VALDOVINOS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2217 MARVEL DR
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75060-5027
Mailing Address - Country:US
Mailing Address - Phone:972-467-1628
Mailing Address - Fax:
Practice Address - Street 1:2217 MARVEL DR
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75060-5027
Practice Address - Country:US
Practice Address - Phone:972-467-1628
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-19
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX669451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical