Provider Demographics
NPI:1891051264
Name:MAYES, KYLE ANNE (LMSW, CAADC, CCS)
Entity type:Individual
Prefix:MS
First Name:KYLE
Middle Name:ANNE
Last Name:MAYES
Suffix:
Gender:F
Credentials:LMSW, CAADC, CCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26428 OLD HOMESTEAD DR
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48331-3841
Mailing Address - Country:US
Mailing Address - Phone:347-788-1238
Mailing Address - Fax:
Practice Address - Street 1:26428 OLD HOMESTEAD DR
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48331-3841
Practice Address - Country:US
Practice Address - Phone:347-788-1238
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-10
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)