Provider Demographics
NPI:1497033922
Name:ASHENFELTER, TIFFANY HUIZAR (LPC)
Entity Type:Individual
Prefix:MRS
First Name:TIFFANY
Middle Name:HUIZAR
Last Name:ASHENFELTER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:TIFFANY
Other - Middle Name:KATE
Other - Last Name:HUIZAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:6600 LBJ FREEWAY
Mailing Address - Street 2:STE 245
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75240-6514
Mailing Address - Country:US
Mailing Address - Phone:214-563-8980
Mailing Address - Fax:
Practice Address - Street 1:6600 LBJ FREEWAY
Practice Address - Street 2:STE 245
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75240-6514
Practice Address - Country:US
Practice Address - Phone:214-563-8980
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-02
Last Update Date:2011-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX63016101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional