Individual
ASHLEY L LAVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2503 PINE ST STE 4, ARKADELPHIA, AR 71923-4368
(940) 641-6768
Mailing address
PO BOX 1271, ARKADELPHIA, AR 71923-1271
(214) 284-5220
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
92419
TX
101YM0800X
Mental Health Counselor
A1804037
AR
101YM0800X
Mental Health Counselor
P2111004
AR
101YP2500X
Professional Counselor
Primary
P2111004
AR
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/03/2014
Last updated
06/06/2025
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