Provider Demographics
NPI:1518380229
Name:MARMAROS, KAYLA (PHD, MS, LMHC)
Entity Type:Individual
Prefix:DR
First Name:KAYLA
Middle Name:
Last Name:MARMAROS
Suffix:
Gender:F
Credentials:PHD, MS, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1550 MADRUGA AVE STE 312
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33146-3070
Mailing Address - Country:US
Mailing Address - Phone:786-332-4340
Mailing Address - Fax:
Practice Address - Street 1:1550 MADRUGA AVE STE 312
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33146-3070
Practice Address - Country:US
Practice Address - Phone:307-707-5914
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-31
Last Update Date:2019-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL13952101YM0800X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health