Provider Demographics
NPI:1437473006
Name:KYLE, CODI DAWN (LMFT)
Entity Type:Individual
Prefix:MS
First Name:CODI
Middle Name:DAWN
Last Name:KYLE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:CODI
Other - Middle Name:DAWN
Other - Last Name:FELIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:9107 SNOWYPOINTE WAY
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37931-4469
Mailing Address - Country:US
Mailing Address - Phone:315-610-1899
Mailing Address - Fax:
Practice Address - Street 1:9107 SNOWYPOINTE WAY
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37931-4469
Practice Address - Country:US
Practice Address - Phone:931-920-7333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-25
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN954106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist