Provider Demographics
NPI:1073959433
Name:BROWN, ASHLEY J (MS)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:J
Last Name:BROWN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2428 S MARION AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74114-3428
Mailing Address - Country:US
Mailing Address - Phone:502-994-8290
Mailing Address - Fax:
Practice Address - Street 1:4815 S HARVARD AVE STE 428
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74135-3068
Practice Address - Country:US
Practice Address - Phone:502-994-8290
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-13
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK6473101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health