Provider Demographics
NPI:1881146637
Name:TOBIN, ASHLEIGH (LPC)
Entity type:Individual
Prefix:
First Name:ASHLEIGH
Middle Name:
Last Name:TOBIN
Suffix:
Gender:X
Credentials:LPC
Other - Prefix:
Other - First Name:ASHLEIGH
Other - Middle Name:
Other - Last Name:MUNCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LLPC
Mailing Address - Street 1:632 FULTON ST W
Mailing Address - Street 2:ATTN: TOBIN COUNSELING, LLC
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49504
Mailing Address - Country:US
Mailing Address - Phone:616-425-9245
Mailing Address - Fax:
Practice Address - Street 1:632 FULTON ST WEST
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49504
Practice Address - Country:US
Practice Address - Phone:616-425-9245
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-27
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401015734101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional