Healthcare Provider Details

I. General information

NPI: 1336069582
Provider Name (Legal Business Name): KAYTLYN CARTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1329 E KEMPER RD STE 4212B
SPRINGDALE OH
45246-5100
US

IV. Provider business mailing address

1329 E KEMPER RD STE 4212B
SPRINGDALE OH
45246-5100
US

V. Phone/Fax

Practice location:
  • Phone: 513-373-9142
  • Fax:
Mailing address:
  • Phone: 513-373-9142
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: KAYTLYN CARTER
Title or Position: OWNER AND THERAPIST
Credential: LPCC-S
Phone: 937-515-8460