Provider Demographics
NPI:1891259933
Name:MILAN, ASHLEY (MA)
Entity type:Individual
Prefix:MS
First Name:ASHLEY
Middle Name:
Last Name:MILAN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 CHESTER AVE
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02907-1245
Mailing Address - Country:US
Mailing Address - Phone:401-219-9774
Mailing Address - Fax:
Practice Address - Street 1:174 ARMISTICE BLVD STE D
Practice Address - Street 2:
Practice Address - City:PAWTUCKET
Practice Address - State:RI
Practice Address - Zip Code:02860-3269
Practice Address - Country:US
Practice Address - Phone:401-475-3548
Practice Address - Fax:401-753-7968
Is Sole Proprietor?:No
Enumeration Date:2019-01-23
Last Update Date:2019-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor