Healthcare Provider Details

I. General information

NPI: 1093062945
Provider Name (Legal Business Name): KAIA ALLINE LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MS. DELPHINE MARIE HERMAN

II. Dates (important events)

Enumeration Date: 08/09/2012
Last Update Date: 08/18/2025
Certification Date: 08/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

319 HOMETOWN WAY
SPRINGTOWN TX
76082-5615
US

IV. Provider business mailing address

319 HOMETOWN WAY
SPRINGTOWN TX
76082-5615
US

V. Phone/Fax

Practice location:
  • Phone: 941-962-3306
  • Fax:
Mailing address:
  • Phone: 941-962-3306
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberCCMH0197101
License Number StateNM
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH26218
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: