Healthcare Provider Details

I. General information

NPI: 1649140674
Provider Name (Legal Business Name): CATALYST IMPACT STRATEGIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2025
Last Update Date: 11/24/2025
Certification Date: 11/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5600 N MAY AVE SUITE 310
OKLAHOMA CITY OK
73112-3973
US

IV. Provider business mailing address

PO BOX 325
HUTTO TX
78634-0325
US

V. Phone/Fax

Practice location:
  • Phone: 512-642-3367
  • Fax:
Mailing address:
  • Phone: 512-642-3367
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: ALBREYUN MCAFEE
Title or Position: EXECUTIVE ASSISTANT
Credential:
Phone: 512-642-3367