| Ashleywilliams Counseling, Inc | |
|
10900 183rd St Ste 105 Cerritos CA 90703-5375 | |
| (888) 382-3851 | |
| (562) 275-8311 |
| Full Name | Ashleywilliams Counseling, Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 10900 183rd St Ste 105, Cerritos, California |
| Authorized Official Name and Position | Stacie Artellia Ashley Williams (OWNER/PRESIDENT) |
| Authorized Official Contact | 8555301615 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ashleywilliams Counseling, Inc Po Box 4027 Cerritos CA 90703-4027 Ph: (855) 530-1615 | Ashleywilliams Counseling, Inc 10900 183rd St Ste 105 Cerritos CA 90703-5375 Ph: (888) 382-3851 |
| NPI Number | 1174807408 |
|---|---|
| Provider Enumeration Date | 10/05/2011 |
| Last Update Date | 04/17/2018 |
| Medicare PECOS PAC ID | 9931419371 |
|---|---|
| Medicare Enrollment ID | O20151113002314 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174807408 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LCS20698 (California) | Primary |
| Provider Name | Stacie A Ashley-williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982770152 PECOS PAC ID: 5395055743 Enrollment ID: I20151116000919 |
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