Healthcare Provider Details

I. General information

NPI: 1285592279
Provider Name (Legal Business Name): KAYLA AYANA BELL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/10/2026
Last Update Date: 01/10/2026
Certification Date: 01/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13920 CENTRAL PARK AVE APT 2SW
ROBBINS IL
60472-1953
US

IV. Provider business mailing address

13920 CENTRAL PARK AVE APT 2SW
ROBBINS IL
60472-1953
US

V. Phone/Fax

Practice location:
  • Phone: 872-214-3324
  • Fax:
Mailing address:
  • Phone: 872-214-3324
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number149030722
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: