Provider Demographics
NPI:1740057736
Name:LAUSCHER, KAYLIN ROSE (LPC-MHSP)
Entity type:Individual
Prefix:
First Name:KAYLIN
Middle Name:ROSE
Last Name:LAUSCHER
Suffix:
Gender:F
Credentials:LPC-MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2576 JOHNSON RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:TN
Mailing Address - Zip Code:37013-1802
Mailing Address - Country:US
Mailing Address - Phone:615-784-8633
Mailing Address - Fax:
Practice Address - Street 1:2576 JOHNSON RIDGE RD
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:TN
Practice Address - Zip Code:37013-1802
Practice Address - Country:US
Practice Address - Phone:615-784-8633
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-08
Last Update Date:2023-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5620101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health