Provider Demographics
NPI:1184166175
Name:BIXLER, MYKAYLA (LCSW)
Entity type:Individual
Prefix:
First Name:MYKAYLA
Middle Name:
Last Name:BIXLER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:MYKAYLA
Other - Middle Name:
Other - Last Name:VENLET
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4317 SW 22ND ST APT 104
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73108-1906
Mailing Address - Country:US
Mailing Address - Phone:405-318-0050
Mailing Address - Fax:
Practice Address - Street 1:909 ALAMEDA ST
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73071-5229
Practice Address - Country:US
Practice Address - Phone:405-360-5100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-08
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker