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NPI Code Detail

MEDICARE: ASHLEY HURLEY, L.L.C

MEDICARE: ASHLEY HURLEY, L.L.C
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 Counselor

General Provider Information

NPI Number : 1417491887
Entity Type Code : Organization
Provider Name (Legal Business Name) : ASHLEY HURLEY, L.L.C
Provider Business Mailing Address
First Line : 2604 NW 26TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73107-2232
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2604 NW 26TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73107-2232
Country : US
Telephone Number : 405-283-1662
Fax Number :
Authorized Official
Title or Position : THERAPIST
Name : ASHLEY HULREY
Credential : M.S., LPC
Telephone Number : 405-283-1662
Provider Enumeration Date : 12/05/2016
Last Update Date : 12/05/2016

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Directions to “ASHLEY HURLEY, L.L.C ” Practice Location

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