Healthcare Provider Details

I. General information

NPI: 1659694362
Provider Name (Legal Business Name): ASHLEY OWENS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/09/2010
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3509 WILLOW WEST CIR
WOODWARD OK
73801-3968
US

IV. Provider business mailing address

3509 WILLOW WEST CIR
WOODWARD OK
73801-3968
US

V. Phone/Fax

Practice location:
  • Phone: 580-334-5420
  • Fax:
Mailing address:
  • Phone: 580-334-5420
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6935
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: