Provider Demographics
NPI:1114573029
Name:MICHAELA, KAYLINA (LCMHC)
Entity type:Individual
Prefix:
First Name:KAYLINA
Middle Name:
Last Name:MICHAELA
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:705 HIGHLINE DR UNIT 207
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28804-0225
Mailing Address - Country:US
Mailing Address - Phone:828-252-4828
Mailing Address - Fax:
Practice Address - Street 1:70 WOODFIN PL STE 307
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-2466
Practice Address - Country:US
Practice Address - Phone:828-252-4828
Practice Address - Fax:828-544-1201
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-15
Last Update Date:2024-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC15040101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health