MYSTIC D CRENSHAW
NPI 1366740680
Counselor in Broken Arrow, OK

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101Y00000X.

Active since March 10, 2011

3100 S ELM PL STE B, BROKEN ARROW, OK 74012(918) 286-2535(918) 286-7693 Get Directions Write a Review

NPPES record last updated: March 10, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mystic D Crenshaw NPPES

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

MYSTIC D CRENSHAW (NPI 1366740680) is an individual counselor in Broken Arrow, Oklahoma and active in the NPI registry since March 2011.

NPPES Registry Identity

NPI1366740680

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameMYSTIC D CRENSHAW

Location Address3100 S ELM PL STE BBroken Arrow, OK 74012-7950

Mailing Address1008 N Cherokee AveClaremore, OK 74017-5839 · (918) 798-5326

Phone(918) 286-2535

Fax(918) 286-7693

Sole ProprietorNo

Enumeration DateMarch 10, 2011

✔ NPI 1366740680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

3100 S ELM PL STE B, Broken Arrow, OK 74012

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