Provider Demographics
NPI:1750184875
Name:WINSTON, ASHAWNTA
Entity type:Individual
Prefix:
First Name:ASHAWNTA
Middle Name:
Last Name:WINSTON
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 13201
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43213-0201
Mailing Address - Country:US
Mailing Address - Phone:614-500-3548
Mailing Address - Fax:614-500-3548
Practice Address - Street 1:2019 E GARDENIA DR
Practice Address - Street 2:
Practice Address - City:PATASKALA
Practice Address - State:OH
Practice Address - Zip Code:43062-6018
Practice Address - Country:US
Practice Address - Phone:614-500-3548
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No251B00000XAgenciesCase Management