Provider Demographics
NPI:1386795508
Name:KAYE, SANDRA (LPC MS)
Entity type:Individual
Prefix:MS
First Name:SANDRA
Middle Name:
Last Name:KAYE
Suffix:
Gender:F
Credentials:LPC MS
Other - Prefix:
Other - First Name:SANDRA
Other - Middle Name:
Other - Last Name:KAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 323
Mailing Address - Street 2:
Mailing Address - City:BERKELEY SPRINGS
Mailing Address - State:WV
Mailing Address - Zip Code:25411-0323
Mailing Address - Country:US
Mailing Address - Phone:304-258-4239
Mailing Address - Fax:
Practice Address - Street 1:181 SYLVIA LANE
Practice Address - Street 2:
Practice Address - City:BERKELEY SPRINGS
Practice Address - State:WV
Practice Address - Zip Code:25411-0323
Practice Address - Country:US
Practice Address - Phone:304-258-4239
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-15
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV1719101Y00000X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor