MEDICARE: KAHLILAH DAWKINS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	103TS0200X	School Psychologist
2	101YM0800X	Mental Health Counselor
3	101Y00000X	Counselor

General Provider Information

NPI Number	:	1073321519
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAHLILAH DAWKINS

Provider Business Mailing Address
First Line	:	601 N LOIS AVE # 25
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33609-2216
Country	:	US
Telephone Number	:	813-551-1021
Fax Number	:

Provider Business Practice Location Address
First Line	:	601 N LOIS AVE # 25
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33609-2216
Country	:	US
Telephone Number	:	813-551-1021
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/30/2024
Last Update Date	:	02/21/2026

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Directions to “ KAHLILAH DAWKINS ” Practice Location

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