Kylia Byassee is a Peer Specialist based in Okmulgee, OK. Kylia Byassee practices in Okmulgee, OK. The NPI Number for Kylia Byassee is 1134732613 and holds a License No. (Oklahoma).
The current practice location address for Kylia Byassee is 1803 S Wood Dr, Okmulgee, OK and can be reached out via phone at 918-756-9250.
Location: 1803 S Wood Dr, Okmulgee, OK, 74447-6520
Provider Profile Details
NPI Number
1134732613
Provider Name
Kylia Byassee
Credential
Provider Entity Type
Individual
Gender
Female
Address
1803 S Wood Dr, Okmulgee, OK, 74447-6520
Phone Number
918-756-9250
Fax Number
Provider Enumeration Date
08/25/2020
Last Update Date
03/10/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 73-1108774 | 05 | OK |
Provider Business Practice Location Address Details
Address
1803 S Wood Dr
City
State
Zip
74447-6825
Phone Number
918-756-9250
Fax Number
Provider Business Mailing Address Details
Address
1803 S Wood Dr
City
State
Zip
74447-6825
Phone Number
918-756-9250
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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