Healthcare Provider Details

I. General information

NPI: 1457713380
Provider Name (Legal Business Name): KYLE MORRISON MS, LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2016
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 W 1ST ST
CLAREMORE OK
74017-7803
US

IV. Provider business mailing address

505 W 1ST ST
CLAREMORE OK
74017-7803
US

V. Phone/Fax

Practice location:
  • Phone: 918-280-8360
  • Fax: 918-238-5667
Mailing address:
  • Phone: 918-280-8360
  • Fax: 918-238-5667

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number11004
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: