# KAYLAS PLACE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215517206
- **Authorized official:** RENEE GREEN LMHC (CEO)
- **Authorized official phone:** (845) 513-5754

## Contact information

- **Practice address:** 41 SHELDON DR, MONTICELLO, NY 12701-4122
- **Practice address phone:** (845) 513-5754
- **Practice address fax:** (914) 292-3422
- **Mailing address:** 41 SHELDON DR, MONTICELLO, NY 12701-4122
- **Mailing address phone:** (845) 513-5754

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 251B00000X | Case Management Agency | — | NULL | — |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/13/2021
- **Last updated:** 01/16/2024