Provider Demographics
NPI:1386960219
Name:GIVENS, GAYLA ANN (MAMFT)
Entity type:Individual
Prefix:
First Name:GAYLA
Middle Name:ANN
Last Name:GIVENS
Suffix:
Gender:F
Credentials:MAMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16521 LYNN ST
Mailing Address - Street 2:
Mailing Address - City:CHOCTAW
Mailing Address - State:OK
Mailing Address - Zip Code:73020-7927
Mailing Address - Country:US
Mailing Address - Phone:405-996-7633
Mailing Address - Fax:
Practice Address - Street 1:16521 LYNN ST
Practice Address - Street 2:
Practice Address - City:CHOCTAW
Practice Address - State:OK
Practice Address - Zip Code:73020-7927
Practice Address - Country:US
Practice Address - Phone:405-996-7633
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-16
Last Update Date:2010-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor