Provider Demographics
NPI:1578107231
Name:GARRISON, KATLYN BETH (LPC-C)
Entity Type:Individual
Prefix:
First Name:KATLYN
Middle Name:BETH
Last Name:GARRISON
Suffix:
Gender:F
Credentials:LPC-C
Other - Prefix:
Other - First Name:KATLYN
Other - Middle Name:
Other - Last Name:HOGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4400 N LINCOLN BLVD
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73105-5108
Mailing Address - Country:US
Mailing Address - Phone:580-375-6300
Mailing Address - Fax:580-331-2007
Practice Address - Street 1:2250 N AIRPORT RD
Practice Address - Street 2:
Practice Address - City:WEATHERFORD
Practice Address - State:OK
Practice Address - Zip Code:73096-3351
Practice Address - Country:US
Practice Address - Phone:580-375-6300
Practice Address - Fax:580-331-2007
Is Sole Proprietor?:No
Enumeration Date:2019-11-05
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health