Provider Demographics
NPI:1174807408
Name:ASHLEYWILLIAMS COUNSELING, INC
Entity type:Organization
Organization Name:ASHLEYWILLIAMS COUNSELING, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:STACIE
Authorized Official - Middle Name:ARTELLIA
Authorized Official - Last Name:ASHLEY WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:855-530-1615
Mailing Address - Street 1:PO BOX 4027
Mailing Address - Street 2:
Mailing Address - City:CERRITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90703-4027
Mailing Address - Country:US
Mailing Address - Phone:855-530-1615
Mailing Address - Fax:562-275-8311
Practice Address - Street 1:10900 183RD ST STE 105
Practice Address - Street 2:
Practice Address - City:CERRITOS
Practice Address - State:CA
Practice Address - Zip Code:90703-5375
Practice Address - Country:US
Practice Address - Phone:888-382-3851
Practice Address - Fax:562-275-8311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-05
Last Update Date:2018-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS20698251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health