Healthcare Provider Details

I. General information

NPI: 1306551189
Provider Name (Legal Business Name): KAYLA PINAUD LPC, LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAYLA JONES

II. Dates (important events)

Enumeration Date: 01/17/2023
Last Update Date: 07/18/2026
Certification Date: 07/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 NEVILLE CT
STAFFORD VA
22554-8811
US

IV. Provider business mailing address

24 NEVILLE CT
STAFFORD VA
22554-8811
US

V. Phone/Fax

Practice location:
  • Phone: 817-372-0743
  • Fax:
Mailing address:
  • Phone: 817-372-0743
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number19186
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number90068
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: