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NPI Code Detail

MEDICARE: KAILA CUMPSTON

MEDICARE: KAILA CUMPSTON
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 Counselor94510TX

General Provider Information

NPI Number : 1578436655
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAILA CUMPSTON
Provider Business Mailing Address
First Line : 107 APPALOOSA RD
Second Line :
City : AMARILLO
State : TX
Zip : 79108-1001
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 803 S RUSK ST
Second Line :
City : AMARILLO
State : TX
Zip : 79106-6648
Country : US
Telephone Number : 888-239-4567
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2025
Last Update Date : 09/25/2025

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Directions to “ KAILA CUMPSTON ” Practice Location

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