Healthcare Provider Details

I. General information

NPI: 1487427514
Provider Name (Legal Business Name): KAITLIN FILKINS MS, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/31/2023
Last Update Date: 03/19/2026
Certification Date: 03/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1440 WHEELER RD
HERNANDO MS
38632-8642
US

IV. Provider business mailing address

1440 WHEELER RD
HERNANDO MS
38632-8642
US

V. Phone/Fax

Practice location:
  • Phone: 601-938-8013
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberTPMC5526
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number3134
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: