Provider Demographics
NPI:1821759770
Name:KAYLA HARVEY MA LLC
Entity Type:Organization
Organization Name:KAYLA HARVEY MA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAYLA
Authorized Official - Middle Name:
Authorized Official - Last Name:HARVEY
Authorized Official - Suffix:
Authorized Official - Credentials:MA LMHC
Authorized Official - Phone:808-769-1847
Mailing Address - Street 1:PO BOX 174
Mailing Address - Street 2:
Mailing Address - City:HOLUALOA
Mailing Address - State:HI
Mailing Address - Zip Code:96725-0174
Mailing Address - Country:US
Mailing Address - Phone:808-365-6874
Mailing Address - Fax:
Practice Address - Street 1:74-5599 LUHIA ST # F
Practice Address - Street 2:
Practice Address - City:KAILUA KONA
Practice Address - State:HI
Practice Address - Zip Code:96740-1697
Practice Address - Country:US
Practice Address - Phone:808-385-6874
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-04
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)