Provider Demographics
NPI:1609599448
Name:REEVE, KAYLA C (LMSW)
Entity type:Individual
Prefix:
First Name:KAYLA
Middle Name:C
Last Name:REEVE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:712 CHIPPEWA SQ STE 201
Mailing Address - Street 2:
Mailing Address - City:MARQUETTE
Mailing Address - State:MI
Mailing Address - Zip Code:49855-4825
Mailing Address - Country:US
Mailing Address - Phone:906-399-9595
Mailing Address - Fax:
Practice Address - Street 1:712 CHIPPEWA SQ STE 201
Practice Address - Street 2:
Practice Address - City:MARQUETTE
Practice Address - State:MI
Practice Address - Zip Code:49855-4825
Practice Address - Country:US
Practice Address - Phone:906-399-9595
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-26
Last Update Date:2025-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X
MI68011203641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical