Provider Demographics
NPI:1912312562
Name:VISNIEWSKI, ASHLEY SERPA (LMHC, LCMHC)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:SERPA
Last Name:VISNIEWSKI
Suffix:
Gender:
Credentials:LMHC, LCMHC
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:E
Other - Last Name:SERPA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC, LCMHC
Mailing Address - Street 1:279 BOUCHARD AVE
Mailing Address - Street 2:
Mailing Address - City:DRACUT
Mailing Address - State:MA
Mailing Address - Zip Code:01826-2229
Mailing Address - Country:US
Mailing Address - Phone:978-360-5270
Mailing Address - Fax:
Practice Address - Street 1:2 ELM SQ STE 317
Practice Address - Street 2:
Practice Address - City:ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01810-3668
Practice Address - Country:US
Practice Address - Phone:978-267-7511
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-23
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor