Provider Demographics
NPI:1881336527
Name:HASHIM, ASHA LUVENIA
Entity type:Individual
Prefix:
First Name:ASHA
Middle Name:LUVENIA
Last Name:HASHIM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4036 BANNOCKBURN PL APT D
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28211-4554
Mailing Address - Country:US
Mailing Address - Phone:828-217-8593
Mailing Address - Fax:
Practice Address - Street 1:4036 BANNOCKBURN PL APT D
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28211-4554
Practice Address - Country:US
Practice Address - Phone:828-217-8593
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-12
Last Update Date:2022-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCRBT-22-199144106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician