Provider Demographics
NPI:1598383911
Name:AMEELE, KAILANI (CHES, LMHCA)
Entity Type:Individual
Prefix:
First Name:KAILANI
Middle Name:
Last Name:AMEELE
Suffix:
Gender:F
Credentials:CHES, LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 RUTLEDGE DR
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28739-6239
Mailing Address - Country:US
Mailing Address - Phone:716-367-0922
Mailing Address - Fax:
Practice Address - Street 1:209 RUTLEDGE DR
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28739-6239
Practice Address - Country:US
Practice Address - Phone:716-367-0922
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-13
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
174H00000X
NC101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No174H00000XOther Service ProvidersHealth Educator