Provider Demographics
NPI:1477301752
Name:KITE MENTAL HEALTH LLC
Entity type:Organization
Organization Name:KITE MENTAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:KIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:337-579-5777
Mailing Address - Street 1:1921 DULLES DR
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70506-2716
Mailing Address - Country:US
Mailing Address - Phone:337-579-5777
Mailing Address - Fax:337-735-7858
Practice Address - Street 1:1921 DULLES DR
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70506-2716
Practice Address - Country:US
Practice Address - Phone:337-579-5777
Practice Address - Fax:337-735-7858
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-10
Last Update Date:2024-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty