Healthcare Provider Details

I. General information

NPI: 1043143324
Provider Name (Legal Business Name): KAYLA LACHON RIVERS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

840 MERCY DR
ORLANDO FL
32808-7820
US

IV. Provider business mailing address

110 S WOODLAND ST
WINTER GARDEN FL
34787-3546
US

V. Phone/Fax

Practice location:
  • Phone: 407-905-8827
  • Fax:
Mailing address:
  • Phone: 407-905-8827
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW26372
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: