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NPI Code Detail

MEDICARE: KAYLINA MICHAELA LCMHC

MEDICARE:   KAYLINA  MICHAELA  LCMHC
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor15040NC
2101YP2500XProfessional Counselor15040NC

General Provider Information

NPI Number : 1114573029
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYLINA MICHAELA LCMHC
Provider Business Mailing Address
First Line : 705 HIGHLINE DR UNIT 207
Second Line :
City : ASHEVILLE
State : NC
Zip : 28804-0225
Country : US
Telephone Number : 828-252-4828
Fax Number :
Provider Business Practice Location Address
First Line : 70 WOODFIN PL STE 307
Second Line :
City : ASHEVILLE
State : NC
Zip : 28801-2466
Country : US
Telephone Number : 828-252-4828
Fax Number : 828-544-1201
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2019
Last Update Date : 08/10/2024

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Directions to “ KAYLINA MICHAELA LCMHC” Practice Location

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