Provider Demographics
NPI:1053516260
Name:HENSON, LISHA DAWN (LPC)
Entity type:Individual
Prefix:MS
First Name:LISHA
Middle Name:DAWN
Last Name:HENSON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MRS
Other - First Name:LISHA
Other - Middle Name:DAWN
Other - Last Name:OXLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:187 W. RUTH AVE.
Mailing Address - Street 2:
Mailing Address - City:ATOKA
Mailing Address - State:OK
Mailing Address - Zip Code:74525
Mailing Address - Country:US
Mailing Address - Phone:918-916-1263
Mailing Address - Fax:580-889-2401
Practice Address - Street 1:301 E COURT ST
Practice Address - Street 2:
Practice Address - City:ATOKA
Practice Address - State:OK
Practice Address - Zip Code:74525-2047
Practice Address - Country:US
Practice Address - Phone:580-889-2400
Practice Address - Fax:580-889-2401
Is Sole Proprietor?:No
Enumeration Date:2007-06-18
Last Update Date:2022-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health