Provider Demographics
NPI:1689947525
Name:SIDES, KAYLA C (LPC, LAC)
Entity Type:Individual
Prefix:
First Name:KAYLA
Middle Name:C
Last Name:SIDES
Suffix:
Gender:F
Credentials:LPC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 N LORRAINE ST
Mailing Address - Street 2:202
Mailing Address - City:HUTCHINSON
Mailing Address - State:KS
Mailing Address - Zip Code:67501-5670
Mailing Address - Country:US
Mailing Address - Phone:913-608-2001
Mailing Address - Fax:913-608-2001
Practice Address - Street 1:1600 N LORRAINE ST
Practice Address - Street 2:202
Practice Address - City:HUTCHINSON
Practice Address - State:KS
Practice Address - Zip Code:67501-5670
Practice Address - Country:US
Practice Address - Phone:913-608-2001
Practice Address - Fax:913-608-2001
Is Sole Proprietor?:No
Enumeration Date:2012-02-22
Last Update Date:2013-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)