Provider Demographics
NPI:1063209658
Name:AKERS, KAYLA A
Entity type:Individual
Prefix:
First Name:KAYLA
Middle Name:A
Last Name:AKERS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:KAYLA
Other - Middle Name:ANNE
Other - Last Name:OLMSCHENK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1714 BUNKER LAKE BLVD NW STE 108
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:MN
Mailing Address - Zip Code:55304-4091
Mailing Address - Country:US
Mailing Address - Phone:763-415-7386
Mailing Address - Fax:
Practice Address - Street 1:1714 BUNKER LAKE BLVD NW STE 108
Practice Address - Street 2:
Practice Address - City:ANDOVER
Practice Address - State:MN
Practice Address - Zip Code:55304-4091
Practice Address - Country:US
Practice Address - Phone:763-415-7386
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-24
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health