=====================================================
General NPI Number Information
=====================================================
NPI Number | 1093062945
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | KAIA ALLINE LPCC
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/09/2012
-----------------------------------------------------
Last Update Date | 08/18/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 319 HOMETOWN WAY
-----------------------------------------------------
City | SPRINGTOWN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76082-5615
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 941-962-3306
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 319 HOMETOWN WAY
-----------------------------------------------------
City | SPRINGTOWN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76082-5615
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 941-962-3306
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number | CCMH0197101
-----------------------------------------------------
License Number State | NM
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number | MH26218
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------