Healthcare Provider Details

I. General information

NPI: 1235527698
Provider Name (Legal Business Name): KAYLA SEXTON M.ED, LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/07/2015
Last Update Date: 10/21/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 BROADWAY ST
PAINTSVILLE KY
41240-1255
US

IV. Provider business mailing address

PO BOX 323
PAINTSVILLE KY
41240-0323
US

V. Phone/Fax

Practice location:
  • Phone: 606-687-0498
  • Fax:
Mailing address:
  • Phone: 606-687-0498
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number239764
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: