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Organization
SCISSORTAIL THERAPY COLLECTIVE, PLLC
Active
Organization
SCISSORTAIL THERAPY COLLECTIVE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MITCHELL GENE DESHAZER LMFT (OWNER/THERAPIST)
(405) 240-9822
Entity
Organization
Contact information
Practice address
23 E 9TH ST STE 319, SHAWNEE, OK 74801-6962
(405) 240-9822
Mailing address
23 E 9TH ST STE 319, SHAWNEE, OK 74801-6962
(405) 240-9822
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
05/25/2026
Last updated
08/17/2026
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