Kaylan Blake Adams
Individual provider Active NPI Mental Health Counselor · Owens Cross Roads, AL
NPI 1699429555 · NPPES record last updated Feb 9, 2022
Key facts
- NPI
- 1699429555
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- C4029A (AL)
- Practice address
- 366 Old Highway 431
Owens Cross Roads, AL 35763-9264 - Phone
- (256) 539-2683
- NPI assigned
- Feb 9, 2022
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C4029A | AL | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | |||
| Mental Health Counselor | 101YM0800X | C4029A | AL | Yes |
Addresses
Primary practice location
366 Old Highway 431
Owens Cross Roads, AL 35763-9264
Mailing address
366 Old Highway 431
Owens Cross Roads, AL 35763-9264
Other practice location 1
926 Weatherly Rd SE
Huntsville, AL 35803-1175
Phone (256) 429-9358
Other providers in Owens Cross Roads, AL
- Kelsey Acevedo
- Agilitas USA, Inc.
- Salwa H Ahmed
- Carly Ann Albright
- Align Physical Therapy and Pilates Studio
- Mary Katherine Allen
All providers in Owens Cross Roads, AL · Mental Health Counselor in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 9, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.