Healthcare Provider Details

I. General information

NPI: 1952223091
Provider Name (Legal Business Name): KAYLA MARIE CAPELES LAPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 BLUE FIN CIR STE 2
SAVANNAH GA
31410-2468
US

IV. Provider business mailing address

PO BOX 1814
TYBEE ISLAND GA
31328-1814
US

V. Phone/Fax

Practice location:
  • Phone: 912-677-2971
  • Fax:
Mailing address:
  • Phone: 912-677-2971
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberAPC010341
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: