Provider Demographics
NPI:1548654858
Name:TEVES, ASHLEY LAUREN (LMHC)
Entity type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:LAUREN
Last Name:TEVES
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:MISS
Other - First Name:ASHLEY
Other - Middle Name:LAUREN
Other - Last Name:WADE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMHC
Mailing Address - Street 1:4334 ACUSHNET AVE
Mailing Address - Street 2:
Mailing Address - City:NEW BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02745
Mailing Address - Country:US
Mailing Address - Phone:732-804-3712
Mailing Address - Fax:
Practice Address - Street 1:543 NORTH STREET
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02740
Practice Address - Country:US
Practice Address - Phone:508-996-3154
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-25
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37AC00145200101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health