Provider Demographics
NPI:1467034702
Name:BEHAVIORAL MEDICINE ASSOCIATES PLLC
Entity Type:Organization
Organization Name:BEHAVIORAL MEDICINE ASSOCIATES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMILE
Authorized Official - Middle Name:
Authorized Official - Last Name:ASHMORE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:214-477-9275
Mailing Address - Street 1:7213 DARROW DR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-8489
Mailing Address - Country:US
Mailing Address - Phone:214-477-9275
Mailing Address - Fax:
Practice Address - Street 1:7213 DARROW DR
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-8489
Practice Address - Country:US
Practice Address - Phone:214-477-9275
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-26
Last Update Date:2021-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty