Healthcare Provider Details

I. General information

NPI: 1386411692
Provider Name (Legal Business Name): KAIYA NOELLE FINE LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/06/2023
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 KINGS POINT DR APT 1503
SUNNY ISLES BEACH FL
33160-4730
US

IV. Provider business mailing address

100 KINGS POINT DR APT 1503
SUNNY ISLES BEACH FL
33160-4730
US

V. Phone/Fax

Practice location:
  • Phone: 917-397-2678
  • Fax:
Mailing address:
  • Phone: 917-397-2678
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number16230
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: