Provider Demographics
NPI:1023582012
Name:SCHUBERT, KAYLA (CASAC, LMHC)
Entity type:Individual
Prefix:
First Name:KAYLA
Middle Name:
Last Name:SCHUBERT
Suffix:
Gender:F
Credentials:CASAC, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:586 N FRENCH RD STE 6
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14228-2103
Mailing Address - Country:US
Mailing Address - Phone:716-253-1771
Mailing Address - Fax:
Practice Address - Street 1:586 N FRENCH RD STE 6
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14228-2103
Practice Address - Country:US
Practice Address - Phone:716-253-1772
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-14
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2-33391101YA0400X
NY008683101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)