# KIYLA MENTAL CLINIC LLC

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

## Provider details

- **NPI number:** 1225965460
- **Authorized official:** MR. NICHOLAS BRADY STARK (ED)
- **Authorized official phone:** (812) 801-1352

## Contact information

- **Practice address:** 2387 PROFESSIONAL HEIGHTS DR STE 140, LEXINGTON, KY 40503-3056
- **Practice address phone:** (859) 303-5794
- **Practice address fax:** (859) 303-5390
- **Mailing address:** 617 HAVANA CT, LEXINGTON, KY 40511-8852
- **Mailing address phone:** (859) 303-5794
- **Mailing address fax:** (859) 303-5390

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 05/04/2026
- **Last updated:** 05/04/2026