Provider Demographics
NPI:1881817955
Name:ASANTE, OFORI CHARLES (MS,NCC,LPC)
Entity Type:Individual
Prefix:MR
First Name:OFORI
Middle Name:CHARLES
Last Name:ASANTE
Suffix:
Gender:M
Credentials:MS,NCC,LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9319 LBJ FWY STE 105
Mailing Address - Street 2:DALLAS TX
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-3440
Mailing Address - Country:US
Mailing Address - Phone:214-329-1243
Mailing Address - Fax:
Practice Address - Street 1:9319 LBJ FWY STE 105
Practice Address - Street 2:DALLAS TX
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-3440
Practice Address - Country:US
Practice Address - Phone:214-329-1243
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2010-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX62095101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor