Provider Demographics
NPI:1073922027
Name:FARR, KAYLA (MAS-MFT, LAMFT)
Entity Type:Individual
Prefix:
First Name:KAYLA
Middle Name:
Last Name:FARR
Suffix:
Gender:F
Credentials:MAS-MFT, LAMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6100 W GILA SPRINGS PL STE 19
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85226-3539
Mailing Address - Country:US
Mailing Address - Phone:480-282-8778
Mailing Address - Fax:
Practice Address - Street 1:6100 W GILA SPRINGS PL STE 19
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85226-3539
Practice Address - Country:US
Practice Address - Phone:480-282-8778
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-04
Last Update Date:2014-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLAMFT-10412106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist