Provider Demographics
NPI:1013552538
Name:PERRY, KAYLA (LSW)
Entity Type:Individual
Prefix:
First Name:KAYLA
Middle Name:
Last Name:PERRY
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:FAMILY GUIDANCE CENTER OF WARREN COUNTY
Mailing Address - Street 2:370 MEMORIAL PKWY
Mailing Address - City:PHILLIPSBURG
Mailing Address - State:NJ
Mailing Address - Zip Code:08865
Mailing Address - Country:US
Mailing Address - Phone:908-454-4470
Mailing Address - Fax:908-689-4529
Practice Address - Street 1:FAMILY GUIDANCE CENTER OF WARREN COUNTY
Practice Address - Street 2:492 ROUTE 57 WEST
Practice Address - City:WASHINGTON
Practice Address - State:NJ
Practice Address - Zip Code:07882-4411
Practice Address - Country:US
Practice Address - Phone:908-689-1000
Practice Address - Fax:908-689-4529
Is Sole Proprietor?:No
Enumeration Date:2019-11-07
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
NJ44SL06671300104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101Y00000XBehavioral Health & Social Service ProvidersCounselor