Healthcare Provider Details

I. General information

NPI: 1144084740
Provider Name (Legal Business Name): BRITTANY KAY WYBLE MS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/13/2024
Last Update Date: 02/23/2026
Certification Date: 02/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 S J T STITES ST
SALLISAW OK
74955-9302
US

IV. Provider business mailing address

74003 S 4735 RD
WESTVILLE OK
74965-6051
US

V. Phone/Fax

Practice location:
  • Phone: 918-775-9150
  • Fax:
Mailing address:
  • Phone: 918-930-0761
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPCCANDIDATE12647
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: