Provider Demographics
NPI:1760956171
Name:CAHILL MATHEWS, KAYLEE (LPCC)
Entity Type:Individual
Prefix:
First Name:KAYLEE
Middle Name:
Last Name:CAHILL MATHEWS
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5881 HIGHWAY 1
Mailing Address - Street 2:
Mailing Address - City:SILVER BAY
Mailing Address - State:MN
Mailing Address - Zip Code:55614-3609
Mailing Address - Country:US
Mailing Address - Phone:612-220-2862
Mailing Address - Fax:
Practice Address - Street 1:5881 HIGHWAY 1
Practice Address - Street 2:
Practice Address - City:SILVER BAY
Practice Address - State:MN
Practice Address - Zip Code:55614-3609
Practice Address - Country:US
Practice Address - Phone:612-220-2862
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-18
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3531101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health