Provider Demographics
NPI:1295276442
Name:ANTHONY, ASHLEY MARIE (MA, LMFT)
Entity type:Individual
Prefix:MISS
First Name:ASHLEY
Middle Name:MARIE
Last Name:ANTHONY
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:MS
Other - First Name:ASH
Other - Middle Name:
Other - Last Name:ANTHONY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMFT
Mailing Address - Street 1:7326 32ND AVE SW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98126-3337
Mailing Address - Country:US
Mailing Address - Phone:206-707-6015
Mailing Address - Fax:
Practice Address - Street 1:918 S HORTON ST STE 1001
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98134-1950
Practice Address - Country:US
Practice Address - Phone:206-707-6015
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-20
Last Update Date:2022-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF61245016106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist