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General NPI Number Information
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NPI Number | 1801469358
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Entity Type | Organization
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Legal Business Name | KYLA A. MILLER COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 07/22/2021
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Last Update Date | 05/21/2024
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Provider Practice Location Address
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Address Line | 7021 KEWANEE AVE BUILDING 3, SUITE 102
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City | LUBBOCK
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State | TX
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Zip | 79424
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Country | US
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Telephone | 806-535-1056
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Fax |
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Provider Business Mailing Address
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Address Line | 7021 KEWANEE AVE BUILDING 3, SUITE 102
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City | LUBBOCK
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State | TX
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Zip | 79424
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Country | US
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Telephone | 806-474-4893
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | KYLA ANN GRAHAM
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Credential | LPC
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Telephone | 806-535-1056
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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