Healthcare Provider Details

I. General information

NPI: 1437016797
Provider Name (Legal Business Name): BASHIYRA WILLIAMS MBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/08/2026
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3900 FORESTVILLE RD
FORESTVILLE MD
20747-4715
US

IV. Provider business mailing address

3900 FORESTVILLE RD
FORESTVILLE MD
20747-4715
US

V. Phone/Fax

Practice location:
  • Phone: 240-296-6060
  • Fax:
Mailing address:
  • Phone: 240-296-6060
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License Number
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: