Provider Demographics
NPI:1134619885
Name:HOUK, KAYLA (CSW)
Entity type:Individual
Prefix:
First Name:KAYLA
Middle Name:
Last Name:HOUK
Suffix:
Gender:F
Credentials:CSW
Other - Prefix:
Other - First Name:KAYLA
Other - Middle Name:
Other - Last Name:EHRHARDT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CSW
Mailing Address - Street 1:567 WILLIAM SIMMONS RD
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:KY
Mailing Address - Zip Code:42101-9325
Mailing Address - Country:US
Mailing Address - Phone:989-274-0627
Mailing Address - Fax:
Practice Address - Street 1:2349 RUSSELLVILLE RD
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:KY
Practice Address - Zip Code:42101-3986
Practice Address - Country:US
Practice Address - Phone:270-781-3387
Practice Address - Fax:270-781-3407
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-17
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY2560731041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical