MEDICARE: KAYLA MCKENZIE CHUSTZ-DUPLESSIS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	PLC10705	LA

General Provider Information

NPI Number	:	1346194735
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAYLA MCKENZIE CHUSTZ-DUPLESSIS

Provider Business Mailing Address
First Line	:	8738 QUARTERS LAKE RD STE 6
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70809-2174
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8738 QUARTERS LAKE RD STE 6
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70809-2174
Country	:	US
Telephone Number	:	225-244-9252
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/24/2026
Last Update Date	:	02/24/2026

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