Provider Demographics
NPI:1851697957
Name:WHITMIRE, ASHLEY DAWN (MS, LPC, ICGC-I)
Entity Type:Individual
Prefix:MS
First Name:ASHLEY
Middle Name:DAWN
Last Name:WHITMIRE
Suffix:
Gender:F
Credentials:MS, LPC, ICGC-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6717 S YALE AVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-3328
Mailing Address - Country:US
Mailing Address - Phone:918-497-6558
Mailing Address - Fax:
Practice Address - Street 1:6717 S YALE AVE STE 202
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-3328
Practice Address - Country:US
Practice Address - Phone:918-497-6558
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-07
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK5081101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health