Healthcare Provider Details

I. General information

NPI: 1134911837
Provider Name (Legal Business Name): KENYA METOYER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/19/2025
Last Update Date: 05/19/2025
Certification Date: 05/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2518 W ROSECRANS AVE
GARDENA CA
90249-2831
US

IV. Provider business mailing address

1703 N SANTA FE AVE
COMPTON CA
90221-1007
US

V. Phone/Fax

Practice location:
  • Phone: 424-379-6797
  • Fax:
Mailing address:
  • Phone: 323-823-1683
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: