Healthcare Provider Details

I. General information

NPI: 1497666028
Provider Name (Legal Business Name): KAYLA SCHULZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7373 N SCOTTSDALE RD STE D120
SCOTTSDALE AZ
85253-3506
US

IV. Provider business mailing address

3802 E WINCHCOMB DR
PHOENIX AZ
85032-5239
US

V. Phone/Fax

Practice location:
  • Phone: 928-589-1261
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLAC08548T
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: