Provider Demographics
NPI:1326886938
Name:UGARTE, KAILA EVELYN HAYES
Entity type:Individual
Prefix:
First Name:KAILA
Middle Name:EVELYN HAYES
Last Name:UGARTE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3625 PUEBLO ST
Mailing Address - Street 2:
Mailing Address - City:EVANS
Mailing Address - State:CO
Mailing Address - Zip Code:80620-2235
Mailing Address - Country:US
Mailing Address - Phone:970-397-1261
Mailing Address - Fax:
Practice Address - Street 1:3625 PUEBLO ST
Practice Address - Street 2:
Practice Address - City:EVANS
Practice Address - State:CO
Practice Address - Zip Code:80620-2235
Practice Address - Country:US
Practice Address - Phone:970-397-1261
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-17
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker