Provider Demographics
NPI:1114578432
Name:HODGES, MCKAYLA LEE (MS, ALC, NCC)
Entity Type:Individual
Prefix:
First Name:MCKAYLA
Middle Name:LEE
Last Name:HODGES
Suffix:
Gender:F
Credentials:MS, ALC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2328 BRANDON ST SW
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-3801
Mailing Address - Country:US
Mailing Address - Phone:256-609-9148
Mailing Address - Fax:
Practice Address - Street 1:814 PALMER RD STE B4
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35758-3185
Practice Address - Country:US
Practice Address - Phone:256-609-9148
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-27
Last Update Date:2019-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health