Provider Demographics
NPI:1245839588
Name:LEVINS, ASHLEY NICOLE (LMFT)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:NICOLE
Last Name:LEVINS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4055 RIDGE AVE APT 4503
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19129-1585
Mailing Address - Country:US
Mailing Address - Phone:153-603-3652
Mailing Address - Fax:844-587-3598
Practice Address - Street 1:4055 RIDGE AVE APT 4503
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19129-1585
Practice Address - Country:US
Practice Address - Phone:215-360-3365
Practice Address - Fax:844-587-3598
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-19
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMF001205106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist