Organization
PERSONAL REVOLUTIONS BEHAVIORAL HEALTH SERVICES, LLC
Active
Other names
Krystal Haltom
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTAL DAWN HALTOM M.A., LPC SUPERVISOR (OWNER)
(405) 550-2688
Entity
Organization
Contact information
Practice address
6801 S WESTERN AVE STE 101, OKLAHOMA CITY, OK 73139-1816
(405) 550-2688
(405) 619-3924
Mailing address
6801 S WESTERN AVE STE 101, OKLAHOMA CITY, OK 73139-1816
(405) 550-2688
(405) 619-3924
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6323
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2003754400B
—
OK
05
—
200781380A
—
OK
Enumeration date
01/04/2018
Last updated
02/24/2026
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