Provider Demographics
NPI:1598485716
Name:STEPHENS, KAYLA SIMMONE (MHC-LP, BA, MS)
Entity Type:Individual
Prefix:
First Name:KAYLA
Middle Name:SIMMONE
Last Name:STEPHENS
Suffix:
Gender:F
Credentials:MHC-LP, BA, MS
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Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4 CREST PL
Mailing Address - Street 2:
Mailing Address - City:ELMSFORD
Mailing Address - State:NY
Mailing Address - Zip Code:10523-3305
Mailing Address - Country:US
Mailing Address - Phone:914-486-8294
Mailing Address - Fax:
Practice Address - Street 1:55 MAIN ST FL 3
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-2739
Practice Address - Country:US
Practice Address - Phone:914-330-5061
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-29
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health