Provider Demographics
NPI:1013161264
Name:ASBILL, DAVID (MED - LPC)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:ASBILL
Suffix:
Gender:M
Credentials:MED - LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7065 LOVE
Mailing Address - Street 2:
Mailing Address - City:QUINLAN
Mailing Address - State:TX
Mailing Address - Zip Code:75474-4609
Mailing Address - Country:US
Mailing Address - Phone:903-224-4931
Mailing Address - Fax:903-883-4530
Practice Address - Street 1:7065 LOVE
Practice Address - Street 2:
Practice Address - City:QUINLAN
Practice Address - State:TX
Practice Address - Zip Code:75474-4609
Practice Address - Country:US
Practice Address - Phone:903-224-4931
Practice Address - Fax:903-883-4530
Is Sole Proprietor?:No
Enumeration Date:2008-11-13
Last Update Date:2010-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16430101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX14971660Medicaid