Provider Demographics
NPI:1295188662
Name:AUCOIN, KAYLA M (BS)
Entity Type:Individual
Prefix:
First Name:KAYLA
Middle Name:M
Last Name:AUCOIN
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:142 LAURA DR
Mailing Address - Street 2:SUITE D
Mailing Address - City:THIBODAUX
Mailing Address - State:LA
Mailing Address - Zip Code:70301-2988
Mailing Address - Country:US
Mailing Address - Phone:985-446-4114
Mailing Address - Fax:985-446-4112
Practice Address - Street 1:142 LAURA DR
Practice Address - Street 2:SUITE D
Practice Address - City:THIBODAUX
Practice Address - State:LA
Practice Address - Zip Code:70301
Practice Address - Country:US
Practice Address - Phone:985-446-4114
Practice Address - Fax:985-446-4112
Is Sole Proprietor?:No
Enumeration Date:2016-07-20
Last Update Date:2022-06-09
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No171M00000XOther Service ProvidersCase Manager/Care Coordinator