Provider Demographics
NPI:1962269795
Name:BURTON, KAYLA RHODES (LICSW)
Entity type:Individual
Prefix:MRS
First Name:KAYLA
Middle Name:RHODES
Last Name:BURTON
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:MRS
Other - First Name:KAYLA
Other - Middle Name:RHODES BURTON
Other - Last Name:WHITE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LICSW
Mailing Address - Street 1:616 FOUNDERS PARK DR W
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35226-4143
Mailing Address - Country:US
Mailing Address - Phone:205-515-2537
Mailing Address - Fax:
Practice Address - Street 1:2501 INTERNATIONAL PARK DR
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35243-4253
Practice Address - Country:US
Practice Address - Phone:205-813-7400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-28
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL5530C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical