Provider Demographics
NPI:1982128906
Name:CAUSEY, KAYLA JEAN
Entity type:Individual
Prefix:MS
First Name:KAYLA
Middle Name:JEAN
Last Name:CAUSEY
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:KAYLA
Other - Middle Name:JEAN
Other - Last Name:BAUMGARTNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:111 N HUDSON ST
Mailing Address - Street 2:
Mailing Address - City:ALTUS
Mailing Address - State:OK
Mailing Address - Zip Code:73521-3811
Mailing Address - Country:US
Mailing Address - Phone:580-379-4085
Mailing Address - Fax:580-379-4062
Practice Address - Street 1:111 N HUDSON ST
Practice Address - Street 2:
Practice Address - City:ALTUS
Practice Address - State:OK
Practice Address - Zip Code:73521-3811
Practice Address - Country:US
Practice Address - Phone:580-379-4085
Practice Address - Fax:580-379-4062
Is Sole Proprietor?:No
Enumeration Date:2017-08-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health