Provider Demographics
NPI:1598595217
Name:LOVE-TAMAS, ASHLEY PAIGE
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:PAIGE
Last Name:LOVE-TAMAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:PAIGE
Other - Last Name:LOVE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:25741 BRONTE LN
Mailing Address - Street 2:
Mailing Address - City:STEVENSON RANCH
Mailing Address - State:CA
Mailing Address - Zip Code:91381-1129
Mailing Address - Country:US
Mailing Address - Phone:818-261-6408
Mailing Address - Fax:
Practice Address - Street 1:25727 MCBEAN PKWY
Practice Address - Street 2:
Practice Address - City:SANTA CLARITA
Practice Address - State:CA
Practice Address - Zip Code:91355-3704
Practice Address - Country:US
Practice Address - Phone:661-200-2864
Practice Address - Fax:661-200-1087
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-06
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW937071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty