Provider Demographics
NPI:1942557442
Name:BANFILL, ASHLEY SUZANNE (MA, LPC CANDIDATE)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:SUZANNE
Last Name:BANFILL
Suffix:
Gender:F
Credentials:MA, LPC CANDIDATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 S TREATY RD
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:OK
Mailing Address - Zip Code:74354-5327
Mailing Address - Country:US
Mailing Address - Phone:918-540-1511
Mailing Address - Fax:918-542-7374
Practice Address - Street 1:111 S TREATY RD
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:OK
Practice Address - Zip Code:74354-5327
Practice Address - Country:US
Practice Address - Phone:918-540-1511
Practice Address - Fax:918-542-7374
Is Sole Proprietor?:No
Enumeration Date:2012-08-14
Last Update Date:2019-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health