Healthcare Provider Details

I. General information

NPI: 1366118721
Provider Name (Legal Business Name): KAYLA CORDEIRO MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2021
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1515 N FEDERAL HWY STE 300
BOCA RATON FL
33432-1994
US

IV. Provider business mailing address

8895 N MILITARY TRL STE 300C
WEST PALM BEACH FL
33410-6279
US

V. Phone/Fax

Practice location:
  • Phone: 754-202-2565
  • Fax:
Mailing address:
  • Phone: 561-627-9499
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: