Provider Demographics
NPI:1043460025
Name:CUNNINGHAM-KAYLOR, LORRI JEANNE (LPC, NCC)
Entity Type:Individual
Prefix:MRS
First Name:LORRI
Middle Name:JEANNE
Last Name:CUNNINGHAM-KAYLOR
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 S ARCH ST
Mailing Address - Street 2:SUITE 2-A
Mailing Address - City:CONNELLSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15425-3515
Mailing Address - Country:US
Mailing Address - Phone:724-626-9941
Mailing Address - Fax:724-626-2785
Practice Address - Street 1:110 S ARCH ST
Practice Address - Street 2:SUITE 2-A
Practice Address - City:CONNELLSVILLE
Practice Address - State:PA
Practice Address - Zip Code:15425-3515
Practice Address - Country:US
Practice Address - Phone:724-626-9941
Practice Address - Fax:724-626-2785
Is Sole Proprietor?:No
Enumeration Date:2008-09-25
Last Update Date:2008-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC004774101YM0800X, 101YP2500X, 101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool