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NPI Code Detail

MEDICARE: KAYLA BRINKLEY M.ED., LPC

MEDICARE: KAYLA BRINKLEY M.ED., LPC
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 Counselor84433TX

General Provider Information

NPI Number : 1386323137
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYLA BRINKLEY M.ED., LPC
Provider Business Mailing Address
First Line : 6910 AMBERWING WAY
Second Line :
City : KATY
State : TX
Zip : 77493-3925
Country : US
Telephone Number : 512-517-3292
Fax Number :
Provider Business Practice Location Address
First Line : 245 W 17TH ST
Second Line :
City : HOUSTON
State : TX
Zip : 77008-4001
Country : US
Telephone Number : 713-352-7789
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2023
Last Update Date : 07/17/2023

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