Provider Demographics
NPI:1497273932
Name:WILLIAMS, ASHLEY JASMINE
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:JASMINE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131 LEDGE ST
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02904-1532
Mailing Address - Country:US
Mailing Address - Phone:203-589-1050
Mailing Address - Fax:
Practice Address - Street 1:131 LEDGE ST
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02904-1532
Practice Address - Country:US
Practice Address - Phone:203-589-1050
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health