MEDICARE: KAYLA CORDEIRO MSW

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

General Provider Information

NPI Number	:	1366118721
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAYLA CORDEIRO MSW

Provider Business Mailing Address
First Line	:	8895 N MILITARY TRL STE 300C
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33410-6279
Country	:	US
Telephone Number	:	561-627-9499
Fax Number	:

Provider Business Practice Location Address
First Line	:	1515 N FEDERAL HWY STE 300
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33432-1994
Country	:	US
Telephone Number	:	754-202-2565
Fax Number	:

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

Provider Enumeration Date	:	08/17/2021
Last Update Date	:	06/15/2026

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