Provider Demographics
NPI:1316446438
Name:PALAFOX, ASHLEA MICHELE (LPC, C HYP, RTTP)
Entity type:Individual
Prefix:MS
First Name:ASHLEA
Middle Name:MICHELE
Last Name:PALAFOX
Suffix:
Gender:F
Credentials:LPC, C HYP, RTTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 W HARWOOD RD APT C
Mailing Address - Street 2:
Mailing Address - City:HURST
Mailing Address - State:TX
Mailing Address - Zip Code:76054-3078
Mailing Address - Country:US
Mailing Address - Phone:817-874-4268
Mailing Address - Fax:
Practice Address - Street 1:330 W HARWOOD RD APT C
Practice Address - Street 2:
Practice Address - City:HURST
Practice Address - State:TX
Practice Address - Zip Code:76054-3078
Practice Address - Country:US
Practice Address - Phone:817-874-4268
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-04
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.013474101YP2500X
R-DMT-2200225600000X
TX86138101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No225600000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDance Therapist