Provider Demographics
NPI:1891067120
Name:CRAIN, KAYE B (LPC, MFTC, NCC)
Entity Type:Individual
Prefix:MRS
First Name:KAYE
Middle Name:B
Last Name:CRAIN
Suffix:
Gender:F
Credentials:LPC, MFTC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53089 HIGHWAY 436
Mailing Address - Street 2:
Mailing Address - City:ANGIE
Mailing Address - State:LA
Mailing Address - Zip Code:70426-3341
Mailing Address - Country:US
Mailing Address - Phone:985-848-5987
Mailing Address - Fax:
Practice Address - Street 1:53089 HIGHWAY 436
Practice Address - Street 2:
Practice Address - City:ANGIE
Practice Address - State:LA
Practice Address - Zip Code:70426-3341
Practice Address - Country:US
Practice Address - Phone:985-848-5987
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-02
Last Update Date:2012-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2058101YM0800X
LA811106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist