Provider Demographics
NPI:1528684586
Name:KAY SUPERVISION & COUNSELING
Entity type:Organization
Organization Name:KAY SUPERVISION & COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIRMAN OF THE BOARD
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:KAY
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:775-764-9218
Mailing Address - Street 1:2101 DENISE CT
Mailing Address - Street 2:
Mailing Address - City:PAHRUMP
Mailing Address - State:NV
Mailing Address - Zip Code:89048-1003
Mailing Address - Country:US
Mailing Address - Phone:702-416-0139
Mailing Address - Fax:
Practice Address - Street 1:2101 DENISE CT
Practice Address - Street 2:
Practice Address - City:PAHRUMP
Practice Address - State:NV
Practice Address - Zip Code:89048-1003
Practice Address - Country:US
Practice Address - Phone:702-416-0139
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-24
Last Update Date:2020-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health