Provider Demographics
NPI:1255004917
Name:BASSETT, ASHLEY (LMHC)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:BASSETT
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 STURBRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-8637
Mailing Address - Country:US
Mailing Address - Phone:508-399-1765
Mailing Address - Fax:
Practice Address - Street 1:44 STURBRIDGE DR
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-8637
Practice Address - Country:US
Practice Address - Phone:508-399-1765
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-28
Last Update Date:2021-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMHC01263101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health