Provider Demographics
NPI:1720720360
Name:REED, KAYLA LYNN (MS, MFLC)
Entity Type:Individual
Prefix:
First Name:KAYLA
Middle Name:LYNN
Last Name:REED
Suffix:
Gender:F
Credentials:MS, MFLC
Other - Prefix:
Other - First Name:KAYLA
Other - Middle Name:LYNN
Other - Last Name:LEGARE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2020 CROMWELL DIXON LN # 1086
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59602-1201
Mailing Address - Country:US
Mailing Address - Phone:406-475-0008
Mailing Address - Fax:
Practice Address - Street 1:639 HELENA AVE FL 2
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-3602
Practice Address - Country:US
Practice Address - Phone:406-475-0008
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-13
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTBBS-MFLC-55507106H00000X
MT55507106H00000X
MTBBH-MFLC-LIC-55507106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist