Healthcare Provider Details

I. General information

NPI: 1629657572
Provider Name (Legal Business Name): KAYLA ARJONA LPC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2021
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17100 GLENMOUNT PARK DR
WEBSTER TX
77598-4368
US

IV. Provider business mailing address

17100 GLENMOUNT PARK DR STE B
WEBSTER TX
77598-4368
US

V. Phone/Fax

Practice location:
  • Phone: 281-407-5658
  • Fax: 281-407-5631
Mailing address:
  • Phone: 281-407-5658
  • Fax: 281-407-5631

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number103865
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-20-143315
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: