Crenshaw, Mystic D

Crenshaw, Mystic D is an individual health care provider with primary practice located at 3100 S Elm Pl Ste B , Broken Arrow OK 74012-7950. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Crenshaw, Mystic D can be contacted via phone (918) 286-2535.

Contact Information

Primary practice address
3100 S Elm Pl Ste B Broken Arrow OK 74012-7950
Phone: (918) 286-2535
Fax: (918) 286-7693
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1366740680
LBN Legal business name Crenshaw, Mystic D
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2011
Last updated Mar 10th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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