Provider Demographics
NPI:1821386079
Name:LEFLORE, ASHLEY R (PHD)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:R
Last Name:LEFLORE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:
Other - Last Name:WOODS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:5272 S LEWIS AVE STE 277
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74105-6544
Mailing Address - Country:US
Mailing Address - Phone:918-205-4797
Mailing Address - Fax:866-598-3110
Practice Address - Street 1:5272 S LEWIS AVE STE 277
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74105-6544
Practice Address - Country:US
Practice Address - Phone:918-205-4797
Practice Address - Fax:866-598-3110
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-20
Last Update Date:2022-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1349103T00000X
WAMC60750717101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist