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NPI Code Detail

MEDICARE: KATHERINE ELAINE HENSHAW LPC, LADC

MEDICARE: KATHERINE ELAINE HENSHAW LPC, LADC
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
1101YA0400XAddiction (Substance Use Disorder) Counselor598OK
2101YM0800XMental Health Counselor
3101YP2500XProfessional Counselor3579OK

General Provider Information

NPI Number : 1295872687
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE ELAINE HENSHAW LPC, LADC
Provider Business Mailing Address
First Line : 515 W DENNY
Second Line :
City : CATOOSA
State : OK
Zip : 74015-2112
Country : US
Telephone Number : 918-810-1105
Fax Number :
Provider Business Practice Location Address
First Line : 1608 S ELWOOD AVE
Second Line :
City : TULSA
State : OK
Zip : 74119-4208
Country : US
Telephone Number : 918-587-3888
Fax Number : 918-587-3891
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2007
Last Update Date : 09/11/2025

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