Healthcare Provider Details

I. General information

NPI: 1275463911
Provider Name (Legal Business Name): KATRINA KLOHN LPC, P.L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2529 S KELLY AVE STE C
EDMOND OK
73013-2976
US

IV. Provider business mailing address

2529 S KELLY AVE STE C
EDMOND OK
73013-2976
US

V. Phone/Fax

Practice location:
  • Phone: 405-863-2086
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: KATRINA KLOHN
Title or Position: OWNER/EMPLOYEE
Credential: LPC
Phone: 405-863-2086