MEDICARE: MRS. KYLA MARIE LEAMON ALC

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

General Provider Information

NPI Number	:	1598612178
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KYLA MARIE LEAMON ALC

Provider Business Mailing Address
First Line	:	112 MEADOW RUN
Second Line	:
City	:	HUNTSVILLE
State	:	AL
Zip	:	35811-8914
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9238 MADISON BLVD
Second Line	:
City	:	MADISON
State	:	AL
Zip	:	35758-9100
Country	:	US
Telephone Number	:	256-886-9443
Fax Number	:

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

Provider Enumeration Date	:	03/12/2026
Last Update Date	:	03/12/2026

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