Provider Demographics
NPI:1033974431
Name:ASHLEY WILLSON, LPC PC
Entity Type:Organization
Organization Name:ASHLEY WILLSON, LPC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLSON
Authorized Official - Suffix:
Authorized Official - Credentials:LCP
Authorized Official - Phone:214-534-5997
Mailing Address - Street 1:PO BOX 2475
Mailing Address - Street 2:
Mailing Address - City:FORNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75126-2475
Mailing Address - Country:US
Mailing Address - Phone:214-534-5997
Mailing Address - Fax:
Practice Address - Street 1:506 S WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:KAUFMAN
Practice Address - State:TX
Practice Address - Zip Code:75142-2406
Practice Address - Country:US
Practice Address - Phone:972-932-8898
Practice Address - Fax:972-932-8890
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-15
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty