Provider Demographics
NPI:1194514943
Name:BROWN, KAYLA MARIE (MA, LLPC)
Entity type:Individual
Prefix:
First Name:KAYLA
Middle Name:MARIE
Last Name:BROWN
Suffix:
Gender:F
Credentials:MA, LLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2215 29TH ST SE STE 8A
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49508-1565
Mailing Address - Country:US
Mailing Address - Phone:616-404-7004
Mailing Address - Fax:
Practice Address - Street 1:41 WASHINGTON AVE STE 320
Practice Address - Street 2:
Practice Address - City:GRAND HAVEN
Practice Address - State:MI
Practice Address - Zip Code:49417-1378
Practice Address - Country:US
Practice Address - Phone:616-404-7004
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-06
Last Update Date:2025-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health