MEDICARE: KAYLA GOODWIN 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
1	101YM0800X	Mental Health Counselor	95123	TX

General Provider Information

NPI Number	:	1386502896
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAYLA GOODWIN LPC

Provider Business Mailing Address
First Line	:	3601 JAMES PITTS DR APT 4113
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75071-0210
Country	:	US
Telephone Number	:	217-343-2515
Fax Number	:

Provider Business Practice Location Address
First Line	:	3601 JAMES PITTS DR APT 4113
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75071-0210
Country	:	US
Telephone Number	:	217-343-2515
Fax Number	:

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

Provider Enumeration Date	:	01/13/2026
Last Update Date	:	01/13/2026

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Directions to “ KAYLA GOODWIN LPC” Practice Location

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