Healthcare Provider Details

I. General information

NPI: 1376910422
Provider Name (Legal Business Name): CAYLA CAHOON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2015
Last Update Date: 10/07/2025
Certification Date: 10/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 3871
ALBANY NY
12203-0871
US

IV. Provider business mailing address

PO BOX 3871
ALBANY NY
12203-0871
US

V. Phone/Fax

Practice location:
  • Phone: 518-360-1186
  • Fax:
Mailing address:
  • Phone: 518-360-1186
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number008402-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: