Provider Demographics
NPI:1306686589
Name:PRIESTER, ASHLEY BLAIR (CPSS)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:BLAIR
Last Name:PRIESTER
Suffix:
Gender:F
Credentials:CPSS
Other - Prefix:MS
Other - First Name:ASHLEY
Other - Middle Name:BLAIR
Other - Last Name:PRIESTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ASHLEY B WILLIAMS
Mailing Address - Street 1:2319 SAINT MATTHEWS RD
Mailing Address - Street 2:
Mailing Address - City:ORANGEBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29118-2042
Mailing Address - Country:US
Mailing Address - Phone:803-536-1571
Mailing Address - Fax:
Practice Address - Street 1:2319 SAINT MATTHEWS RD
Practice Address - Street 2:
Practice Address - City:ORANGEBURG
Practice Address - State:SC
Practice Address - Zip Code:29118-2042
Practice Address - Country:US
Practice Address - Phone:803-387-3100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-28
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health