Provider Demographics
NPI:1083121990
Name:PAIGE KAYIHAN COUNSELING
Entity Type:Organization
Organization Name:PAIGE KAYIHAN COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:PAIGE
Authorized Official - Middle Name:MCEWEN
Authorized Official - Last Name:KAYIHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LICSW
Authorized Official - Phone:206-265-1561
Mailing Address - Street 1:24000 DIETZ DR
Mailing Address - Street 2:
Mailing Address - City:BONITA SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34135-7001
Mailing Address - Country:US
Mailing Address - Phone:206-265-1561
Mailing Address - Fax:
Practice Address - Street 1:24000 DIETZ DR
Practice Address - Street 2:
Practice Address - City:BONITA SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34135-7001
Practice Address - Country:US
Practice Address - Phone:206-265-1561
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-02
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health