Provider Demographics
NPI:1336614221
Name:ADAMS, KAYLA VOORHEES (LCSW)
Entity type:Individual
Prefix:
First Name:KAYLA
Middle Name:VOORHEES
Last Name:ADAMS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:KAYLA
Other - Middle Name:
Other - Last Name:VOORHEES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:3309 FOREST CREEK DR UNIT 103A
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78664-6168
Mailing Address - Country:US
Mailing Address - Phone:806-341-9141
Mailing Address - Fax:806-403-3151
Practice Address - Street 1:3309 FOREST CREEK DR UNIT 103A
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664-6168
Practice Address - Country:US
Practice Address - Phone:806-341-9141
Practice Address - Fax:806-403-3151
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-08
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORL142881041C0700X
TX535521041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORL14288OtherLCSW
TX53552OtherLCSW