Provider Demographics
NPI:1619681046
Name:SMITH, KAYLA LEA (LPC, LBS)
Entity Type:Individual
Prefix:
First Name:KAYLA
Middle Name:LEA
Last Name:SMITH
Suffix:
Gender:F
Credentials:LPC, LBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6414 UNION AVE
Mailing Address - Street 2:
Mailing Address - City:FINLEYVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15332-1030
Mailing Address - Country:US
Mailing Address - Phone:412-719-2485
Mailing Address - Fax:
Practice Address - Street 1:95 ENTERPRISE ST
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:PA
Practice Address - Zip Code:15037-2070
Practice Address - Country:US
Practice Address - Phone:412-754-1100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-10
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC015238101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor