MEDICARE: KEYARA LAKAYLAN KING

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	:	1881521094
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEYARA LAKAYLAN KING

Provider Business Mailing Address
First Line	:	1737 E FRANKFORD RD APT 3403
Second Line	:
City	:	CARROLLTON
State	:	TX
Zip	:	75007-5641
Country	:	US
Telephone Number	:	214-497-2418
Fax Number	:

Provider Business Practice Location Address
First Line	:	1737 E FRANKFORD RD APT 3403
Second Line	:
City	:	CARROLLTON
State	:	TX
Zip	:	75007-5641
Country	:	US
Telephone Number	:	214-497-2418
Fax Number	:

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

Provider Enumeration Date	:	05/04/2026
Last Update Date	:	05/04/2026

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Directions to “ KEYARA LAKAYLAN KING ” Practice Location

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