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NPI Code Detail

MEDICARE: ASHETON MARIE TANAHEY

MEDICARE: ASHETON MARIE TANAHEY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorLPC05984AL

General Provider Information

NPI Number : 1114859642
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHETON MARIE TANAHEY
Provider Business Mailing Address
First Line : 4622 SKYLINE RIDGE RD
Second Line :
City : GARDENDALE
State : AL
Zip : 35071-2998
Country : US
Telephone Number : 205-790-2905
Fax Number :
Provider Business Practice Location Address
First Line : 2100 SOUTHBRIDGE PKWY STE 650
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35209-1317
Country : US
Telephone Number : 646-941-7645
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2026
Last Update Date : 06/01/2026

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Directions to “ ASHETON MARIE TANAHEY ” Practice Location

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