MIRRISA CRENSHAW
NPI 1063188555
Student in an Organized Health Care Education/Training Program in Xenia, OH

Active since August 17, 2021
452 W MARKET ST, XENIA, OH 45385(937) 376-8700(937) 376-8725 Get Directions Write a Review

NPPES record last updated: August 17, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mirrisa Crenshaw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIRRISA CRENSHAW (NPI 1063188555) is an individual student in an organized health care education/training program in Xenia, Ohio, licensed in Ohio (S2101902-TRNE) and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1063188555
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMIRRISA CRENSHAW
Location Address452 W MARKET STXenia, OH 45385-2815
Mailing Address452 W Market StXenia, OH 45385-2815 · (937) 376-8700 · Fax (937) 376-8725
Fax(937) 376-8725
Sole ProprietorYes
Enumeration DateAugust 17, 2021
NPPES CertifiedAugust 17, 2021
NPI 1063188555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in OH · S2101902-TRNE
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

452 W MARKET ST, Xenia, OH 45385

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Case Management
452 W MARKET ST
XENIA, OH 45385
Counselor (Mental Health)
452 W MARKET ST
XENIA, OH 45385
Counselor (Mental Health)
452 W MARKET ST
XENIA, OH 45385
Counselor (Mental Health)
452 W MARKET ST
XENIA, OH 45385
Counselor (Mental Health)
452 W MARKET ST
XENIA, OH 45385
Counselor (Mental Health)
452 W MARKET ST
XENIA, OH 45385
Counselor (Mental Health)
452 W MARKET ST
XENIA, OH 45385
Counselor (Mental Health)
452 W MARKET ST
XENIA, OH 45385

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mirrisa Crenshaw's NPI number?

The NPI number for Mirrisa Crenshaw is 1063188555. It was assigned to this individual provider in the NPPES registry on August 17, 2021.

Where is Mirrisa Crenshaw located?

Mirrisa Crenshaw practices at 452 W Market St, Xenia, OH 45385. The listed phone number is (937) 376-8700.

What is Mirrisa Crenshaw's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Mirrisa Crenshaw was last updated on August 17, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.