Provider Demographics
NPI:1437652617
Name:JAMES, KYLA DAWN (LMHC)
Entity type:Individual
Prefix:
First Name:KYLA
Middle Name:DAWN
Last Name:JAMES
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 S 2ND ST
Mailing Address - Street 2:
Mailing Address - City:SCOTTSBURG
Mailing Address - State:IN
Mailing Address - Zip Code:47170-1806
Mailing Address - Country:US
Mailing Address - Phone:812-216-3435
Mailing Address - Fax:
Practice Address - Street 1:1092 W COMMUNITY WAY
Practice Address - Street 2:
Practice Address - City:SCOTTSBURG
Practice Address - State:IN
Practice Address - Zip Code:47170-7768
Practice Address - Country:US
Practice Address - Phone:812-414-1520
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-14
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health