Provider Demographics
NPI:1386236644
Name:CARTER, KAYLAH BRYANT (LPC)
Entity type:Individual
Prefix:MRS
First Name:KAYLAH
Middle Name:BRYANT
Last Name:CARTER
Suffix:
Gender:
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2631 BEAVER DAM RD
Mailing Address - Street 2:
Mailing Address - City:BUCHANAN
Mailing Address - State:VA
Mailing Address - Zip Code:24066-4894
Mailing Address - Country:US
Mailing Address - Phone:540-598-3080
Mailing Address - Fax:
Practice Address - Street 1:2631 BEAVER DAM RD
Practice Address - Street 2:
Practice Address - City:BUCHANAN
Practice Address - State:VA
Practice Address - Zip Code:24066-4894
Practice Address - Country:US
Practice Address - Phone:540-598-3080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-08
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701010173101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional