=====================================================
General NPI Number Information
=====================================================
NPI Number | 1881495885
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | KAYLA BRIANNE NAIMAN MA, LAC, NCC
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/24/2025
-----------------------------------------------------
Last Update Date | 03/24/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3000 NJ-10
-----------------------------------------------------
City | MORRIS PLAINS
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07950
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 973-784-8981
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 60 EDGEMERE RD
-----------------------------------------------------
City | LIVINGSTON
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07039-2807
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 973-525-7243
-----------------------------------------------------
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 | 37AC00796100
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------