Provider Demographics
NPI:1710251327
Name:MICHAEL D ASHENFELTER JR
Entity Type:Organization
Organization Name:MICHAEL D ASHENFELTER JR
Other - Org Name:ASHENFELTER AND ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:DEAN
Authorized Official - Last Name:ASHENFELTER
Authorized Official - Suffix:JR
Authorized Official - Credentials:LPC
Authorized Official - Phone:469-337-8363
Mailing Address - Street 1:8555 FAIR OAKS XING
Mailing Address - Street 2:510
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-8085
Mailing Address - Country:US
Mailing Address - Phone:469-337-8363
Mailing Address - Fax:
Practice Address - Street 1:6600 LBJ FWY
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:469-337-8363
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-28
Last Update Date:2012-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX63230101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty