KAYLA CHINCHILLA


Address: 106 Cherokee Lane, Clarksville, AR 72830
Phone: 4797547296

KAYLA CHINCHILLA (NPI# 1083186431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083186431
Entity Type Individual
Full Name KAYLA CHINCHILLA
Credential LAC
Practice Address 106 Cherokee Lane
Clarksville
AR 72830
Mailing Address P.o. Box 679
Morrilton
AR 72110-0679
Practice Telephone 4797547296
Practice Fax Number 4797548919
Mailing Telephone 5013544589
Mailing Fax Number 5013545410
Enumeration Date 2018-12-26
Last Update Date 2018-12-26
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Office Location

Street Address 106 CHEROKEE LANE
City CLARKSVILLE
State AR
Zip Code 72830

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NPI Name Taxonomy Address Enumeration
1649737545 Marilyn Elaine Laster Pharmacist 211 East Main St, Clarksville, AR 72830 2019-02-27
1669995619 Karla D Snow Case Manager/Care Coordinator 718 Brown Street, Clarksville, AR 72830 2017-07-21
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1275882060 Shay Morgan Dietitian, Registered 1100 East Poplar Street, Clarksville, AR 72830 2012-09-07
1518111566 Melisa Leann Traylor Case Manager/Care Coordinator 522 Mill Road, Clarksville, AR 72830 2008-11-04
1669635280 Family Foot Clinic Podiatrist 203 Sevier St, Clarksville, AR 72830 2008-07-03
1891969721 Scott Lee Landis Counselor 522 Mills Rd., Clarksville, Ar, AR 72830 2008-04-22
1437364684 Snider Family Chiropractic Clinic Chiropractor 1012 Poplar St., Clarksville, AR 72830 2007-05-11
1376765917 Jones Speech Therapy Speech-Language Pathologist 1312 North Harmony Road, Clarksville, AR 72830 2007-05-03
1982731246 Diana Tillman Bowen Case Manager/Care Coordinator 1021 Poplar St, Clarksville, AR 72830 2007-02-27
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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1023658648 Aimee Vaughn Counselor 3452 Heatherwood Trce, Clarksville, TN 37040-5735 2020-01-11
1811539539 Phillip Haney Counselor 2032 Lintwood Dr, Clarksville, TN 37042-4107 2019-10-15
1396387171 Phoenix Rising Counseling LLC Counselor 2535 Madison St Ste E, Clarksville, TN 37043-3921 2019-10-12
1194371807 Elizabeth B Thomas Counselor 1662 Golf Club Ln, Clarksville, TN 37043-4897 2019-08-18
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Competitor

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City CLARKSVILLE
Zip Code 72830

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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