Provider Demographics
NPI:1598560633
Name:CUTLER, KALLAY ELIZABETH (LMHC)
Entity type:Individual
Prefix:
First Name:KALLAY
Middle Name:ELIZABETH
Last Name:CUTLER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3950 N 56TH AVE APT 211
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-1683
Mailing Address - Country:US
Mailing Address - Phone:954-654-0608
Mailing Address - Fax:
Practice Address - Street 1:3950 N 56TH AVE APT 211
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-1683
Practice Address - Country:US
Practice Address - Phone:954-654-0608
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-13
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH25019101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health