Provider Demographics
NPI:1851669519
Name:ALLEN, ASHLEIGH C (BA CM)
Entity Type:Individual
Prefix:MS
First Name:ASHLEIGH
Middle Name:C
Last Name:ALLEN
Suffix:
Gender:F
Credentials:BA CM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 N GRAND AVE STE 319
Mailing Address - Street 2:
Mailing Address - City:OKMULGEE
Mailing Address - State:OK
Mailing Address - Zip Code:74447-4031
Mailing Address - Country:US
Mailing Address - Phone:918-758-1930
Mailing Address - Fax:918-758-1920
Practice Address - Street 1:114 N GRAND AVE STE 319
Practice Address - Street 2:
Practice Address - City:OKMULGEE
Practice Address - State:OK
Practice Address - Zip Code:74447-4031
Practice Address - Country:US
Practice Address - Phone:918-758-1930
Practice Address - Fax:918-758-1920
Is Sole Proprietor?:No
Enumeration Date:2011-12-09
Last Update Date:2011-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker