Provider Demographics
NPI:1699577379
Name:ALGHAMDI, ASHLLEY ZHAZMIR MYKAYLA (LCSW)
Entity type:Individual
Prefix:
First Name:ASHLLEY
Middle Name:ZHAZMIR MYKAYLA
Last Name:ALGHAMDI
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:340 GOLD HILLS DR
Mailing Address - Street 2:
Mailing Address - City:RIO VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:94571-2158
Mailing Address - Country:US
Mailing Address - Phone:707-365-5019
Mailing Address - Fax:
Practice Address - Street 1:340 GOLD HILLS DR
Practice Address - Street 2:
Practice Address - City:RIO VISTA
Practice Address - State:CA
Practice Address - Zip Code:94571-2158
Practice Address - Country:US
Practice Address - Phone:707-365-5019
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-25
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1280391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical