Healthcare Provider Details

I. General information

NPI: 1578480208
Provider Name (Legal Business Name): KAYLA RENEE FINK
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3506 S CULPEPPER CIR STE A
SPRINGFIELD MO
65804-4251
US

IV. Provider business mailing address

3506 S CULPEPPER CIR STE A
SPRINGFIELD MO
65804-4251
US

V. Phone/Fax

Practice location:
  • Phone: 417-719-1440
  • Fax:
Mailing address:
  • Phone: 417-719-1440
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2026030079
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: