Provider Demographics
NPI:1821520867
Name:ABENA ASANTI
Entity Type:Organization
Organization Name:ABENA ASANTI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ABENA
Authorized Official - Middle Name:JAMILA
Authorized Official - Last Name:ASANTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-698-0137
Mailing Address - Street 1:PO BOX 216
Mailing Address - Street 2:
Mailing Address - City:LANGSTON
Mailing Address - State:OK
Mailing Address - Zip Code:73050-0216
Mailing Address - Country:US
Mailing Address - Phone:405-698-0137
Mailing Address - Fax:
Practice Address - Street 1:701 SAMMY DAVIS JR DR
Practice Address - Street 2:
Practice Address - City:LANGSTON
Practice Address - State:OK
Practice Address - Zip Code:73050-5002
Practice Address - Country:US
Practice Address - Phone:405-698-0137
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-29
Last Update Date:2017-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management