Healthcare Provider Details

I. General information

NPI: 1194326637
Provider Name (Legal Business Name): KAYLA WRIGHT COUNSELING, P.L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2020
Last Update Date: 11/02/2020
Certification Date: 11/02/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1901 N MOORE AVE STE 15
MOORE OK
73160-3612
US

IV. Provider business mailing address

3139 SW 103RD ST
OKLAHOMA CITY OK
73159-6041
US

V. Phone/Fax

Practice location:
  • Phone: 405-277-0482
  • Fax:
Mailing address:
  • Phone: 405-837-6681
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. KAYLA RENEE HIGNITE
Title or Position: LICENSED ALCOHOL, DRUG, AND MH
Credential: LADC/MH
Phone: 405-837-6681