Provider Demographics
NPI:1578881157
Name:MCKAYLE, LINDA DAWNEL (LMHC,NCC)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:DAWNEL
Last Name:MCKAYLE
Suffix:
Gender:F
Credentials:LMHC,NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7972 ORLEANS ST
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33023-3562
Mailing Address - Country:US
Mailing Address - Phone:954-696-8375
Mailing Address - Fax:954-987-0841
Practice Address - Street 1:7451 RIVIERA BLVD STE 112
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33023-6567
Practice Address - Country:US
Practice Address - Phone:954-696-8375
Practice Address - Fax:954-987-0841
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-06
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH7814101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL013380700Medicaid