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1730965286 NPI number — KAYLA WELLS THERAPY LLC

NPI Number: 1730965286
Health Care Provider/Practitioner: KAYLA WELLS THERAPY LLC

Information about “1730965286” NPI (KAYLA WELLS THERAPY LLC) exists in 1730965286 in HTML format HTML  |  1730965286 in plain Text format TXT  |  1730965286 in PDF (Portable Document Format) PDF  |  1730965286 in an XML format XML  formats.

NPI Number : 1730965286 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1730965286",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "KAYLA WELLS THERAPY LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "522 W RIVERSIDE AVE # 8267",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SPOKANE",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "99201-0580",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "509-240-9923",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "522 W RIVERSIDE AVE # 8267",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SPOKANE",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "99201-0580",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "509-240-9923",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/31/2023",
    "LastUpdateDate": "08/31/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "WELLS",
    "AuthorizedOfficialFirstName": "KAYLA",
    "AuthorizedOfficialMiddleName": "MARIE",
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LMHC",
    "AuthorizedOfficialTelephoneNumber": "813-416-7141",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QM0850X",
        "TaxonomyName": "Adult Mental Health Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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