Healthcare Provider Details

I. General information

NPI: 1861305906
Provider Name (Legal Business Name): B KATIGAN WRAPAROUND SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 W MAIN ST STE 210
ARDMORE OK
73401-6320
US

IV. Provider business mailing address

333 W MAIN ST STE 210
ARDMORE OK
73401-6320
US

V. Phone/Fax

Practice location:
  • Phone: 405-664-7857
  • Fax: 580-309-5814
Mailing address:
  • Phone: 405-664-7857
  • Fax: 580-309-5814

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. FORREST BRENT KATIGAN
Title or Position: OWNER AND SOLE PROVIDER40566478574
Credential: LADC/MH
Phone: 405-664-7857