Provider Demographics
NPI:1912524893
Name:LUTHER, KYLA MARIE (LPC-IT, CSAC, ICS)
Entity type:Individual
Prefix:
First Name:KYLA
Middle Name:MARIE
Last Name:LUTHER
Suffix:
Gender:F
Credentials:LPC-IT, CSAC, ICS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 N BEAUMONT RD STE 326
Mailing Address - Street 2:
Mailing Address - City:PRAIRIE DU CHIEN
Mailing Address - State:WI
Mailing Address - Zip Code:53821-1445
Mailing Address - Country:US
Mailing Address - Phone:608-326-0248
Mailing Address - Fax:608-326-4395
Practice Address - Street 1:225 N BEAUMONT RD STE 326
Practice Address - Street 2:
Practice Address - City:PRAIRIE DU CHIEN
Practice Address - State:WI
Practice Address - Zip Code:53821-1445
Practice Address - Country:US
Practice Address - Phone:608-326-0248
Practice Address - Fax:608-326-4395
Is Sole Proprietor?:No
Enumeration Date:2020-06-26
Last Update Date:2025-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI16320-132101YA0400X
WI8090-226101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)