Provider Demographics
NPI:1548992191
Name:SHORTER, KAYLEIGH MORGAN (MS, LPC, BC-TMH)
Entity type:Individual
Prefix:MS
First Name:KAYLEIGH
Middle Name:MORGAN
Last Name:SHORTER
Suffix:
Gender:F
Credentials:MS, LPC, BC-TMH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3428 N 7TH ST
Mailing Address - Street 2:
Mailing Address - City:OCEAN SPRINGS
Mailing Address - State:MS
Mailing Address - Zip Code:39564-1023
Mailing Address - Country:US
Mailing Address - Phone:228-343-1885
Mailing Address - Fax:
Practice Address - Street 1:2550 MARSHALL RD
Practice Address - Street 2:
Practice Address - City:BILOXI
Practice Address - State:MS
Practice Address - Zip Code:39531-4747
Practice Address - Country:US
Practice Address - Phone:228-300-6586
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-30
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS3044101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health