Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kylie Michelle Moak, MASTERSSTUDENT

Individual provider Mental Health Counselor · NPI 1407672371

Kylie Michelle Moak, MASTERSSTUDENT is a Mental Health Counselor in Oklahoma City, Oklahoma. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2

Practice location Address checks out

6448 S Western Ave
Oklahoma City, OK 73139-1717
Phone: (405) 939-5800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1407672371
Entity typeIndividual (Type 1)
GenderFemale
Credentials MASTERSSTUDENT
Sole proprietorNo
NPI enumeratedNovember 25, 2024
Last updated in NPPESNovember 25, 2024
Certification dateNovember 25, 2024

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