Provider Demographics
NPI:1437514999
Name:EATON, KAYLA N (LPC)
Entity Type:Individual
Prefix:MRS
First Name:KAYLA
Middle Name:N
Last Name:EATON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:255 ELK DR STE C
Mailing Address - Street 2:
Mailing Address - City:BURLESON
Mailing Address - State:TX
Mailing Address - Zip Code:76028-8691
Mailing Address - Country:US
Mailing Address - Phone:817-888-8131
Mailing Address - Fax:
Practice Address - Street 1:255 ELK DR STE C
Practice Address - Street 2:
Practice Address - City:BURLESON
Practice Address - State:TX
Practice Address - Zip Code:76028-8691
Practice Address - Country:US
Practice Address - Phone:817-888-8131
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-28
Last Update Date:2015-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX67712101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional