Provider Demographics
NPI:1710574132
Name:WILLIAMS, ERIN ASHLEY (MS)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:ASHLEY
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:ASHLEY
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:5918 PATTERSON AVE
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32219-3457
Mailing Address - Country:US
Mailing Address - Phone:904-862-3116
Mailing Address - Fax:
Practice Address - Street 1:5918 PATTERSON AVE
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32219-3457
Practice Address - Country:US
Practice Address - Phone:904-862-3116
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-31
Last Update Date:2020-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor