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NPI Code Detail

MEDICARE: ASHLEY COLWELL MS

MEDICARE: ASHLEY COLWELL MS
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 : 1740114008
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY COLWELL MS
Provider Business Mailing Address
First Line : 14008 GEORGIAN WAY
Second Line :
City : YUKON
State : OK
Zip : 73099-8720
Country : US
Telephone Number : 405-650-8446
Fax Number :
Provider Business Practice Location Address
First Line : 13301 N MERIDIAN AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73120-9369
Country : US
Telephone Number : 405-310-3262
Fax Number : 405-876-6364
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2026
Last Update Date : 06/11/2026

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