Healthcare Provider Details

I. General information

NPI: 1871203711
Provider Name (Legal Business Name): KAYLA ANN MCLAUGHLIN LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAYLA ANN IANNELLO

II. Dates (important events)

Enumeration Date: 12/01/2022
Last Update Date: 12/01/2022
Certification Date: 12/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3602 COLLINS FERRY RD STE 150
MORGANTOWN WV
26505-2378
US

IV. Provider business mailing address

3602 COLLINS FERRY RD STE 150
MORGANTOWN WV
26505-2378
US

V. Phone/Fax

Practice location:
  • Phone: 304-598-6655
  • Fax: 304-598-6383
Mailing address:
  • Phone: 304-598-6655
  • Fax: 304-598-6383

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2740
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: