Healthcare Provider Details

I. General information

NPI: 1285181297
Provider Name (Legal Business Name): ASHLEY LORRAINE WILLIAMS M.S.W
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/07/2016
Last Update Date: 02/26/2026
Certification Date: 02/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5820 E WT HARRIS BLVD
CHARLOTTE NC
28215-3541
US

IV. Provider business mailing address

548 PEIGLER ST NW
CONCORD NC
28027-0786
US

V. Phone/Fax

Practice location:
  • Phone: 231-342-1345
  • Fax:
Mailing address:
  • Phone: 231-342-1345
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: