Provider Demographics
NPI:1720332513
Name:MILES, KAYLOR T (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:KAYLOR
Middle Name:T
Last Name:MILES
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2631 BLAIRSTONE RD
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32301-5905
Mailing Address - Country:US
Mailing Address - Phone:850-402-0020
Mailing Address - Fax:850-402-2910
Practice Address - Street 1:2631 BLAIRSTONE RD
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32301-5905
Practice Address - Country:US
Practice Address - Phone:850-402-0020
Practice Address - Fax:850-402-2910
Is Sole Proprietor?:No
Enumeration Date:2012-11-01
Last Update Date:2012-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 10343101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health