Healthcare Provider Details

I. General information

NPI: 1154234458
Provider Name (Legal Business Name): KAYLE OKEKE LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KAYLA OKEKE LMHC

II. Dates (important events)

Enumeration Date: 09/26/2026
Last Update Date: 09/26/2026
Certification Date: 09/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12360 SW 132ND CT STE 113
MIAMI FL
33186-6461
US

IV. Provider business mailing address

12360 SW 132ND CT STE 113
MIAMI FL
33186-6461
US

V. Phone/Fax

Practice location:
  • Phone: 305-588-4143
  • Fax: 305-964-7375
Mailing address:
  • Phone: 305-588-4143
  • Fax: 305-964-7375

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH28650
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: