Organization
COUNSELING WITH KAYLA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHAKAYLA WARE MED, LPC, NCC (OWNER)
(912) 225-3454
Entity
Organization
Contact information
Practice address
303 ALDRED AVE, STATESBORO, GA 30458-0043
(912) 225-3454
(912) 225-3454
Mailing address
PO BOX 1844, STATESBORO, GA 30459-1844
(912) 225-3454
(912) 225-3454
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LPC009193
GA
Other
Enumeration date
04/14/2017
Last updated
04/14/2017
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