Healthcare Provider Details

I. General information

NPI: 1295872687
Provider Name (Legal Business Name): KATHERINE ELAINE HENSHAW LPC, LADC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/01/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1608 S ELWOOD AVE
TULSA OK
74119-4208
US

IV. Provider business mailing address

515 W DENNY
CATOOSA OK
74015-2112
US

V. Phone/Fax

Practice location:
  • Phone: 918-587-3888
  • Fax: 918-587-3891
Mailing address:
  • Phone: 918-810-1105
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number598
License Number StateOK
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number3579
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: