Healthcare Provider Details

I. General information

NPI: 1922969377
Provider Name (Legal Business Name): KAYLEY STANLEY MS, ALC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/24/2025
Last Update Date: 11/24/2025
Certification Date: 11/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1302 NOBLE ST
ANNISTON AL
36201-4693
US

IV. Provider business mailing address

1302 NOBLE ST
ANNISTON AL
36201-4693
US

V. Phone/Fax

Practice location:
  • Phone: 256-225-6418
  • Fax: 256-223-9636
Mailing address:
  • Phone: 256-225-6418
  • Fax: 256-223-9636

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberALC05842
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: