Provider Demographics
NPI:1952162794
Name:PURCELL, KAYLA NASHAYE
Entity Type:Individual
Prefix:MS
First Name:KAYLA
Middle Name:NASHAYE
Last Name:PURCELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:629 SHANNON DR
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27516-9338
Mailing Address - Country:US
Mailing Address - Phone:704-618-9038
Mailing Address - Fax:
Practice Address - Street 1:629 SHANNON DR
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27516-9338
Practice Address - Country:US
Practice Address - Phone:704-618-9038
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-18
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)