MRS. INDIA IASIA KYLES


Address: 82 Tilton St, Springfield, MA 01109-2332
Phone: 4132504402

MRS. INDIA IASIA KYLES (NPI# 1205443462) 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) 1205443462
Entity Type Individual
Full Name MRS. INDIA IASIA KYLES
Credential LICSW
Practice Address 82 Tilton St
Springfield
MA 01109-2332
Practice Telephone 4132504402
Mailing Telephone 4132504402
Enumeration Date 2020-09-30
Last Update Date 2020-09-30
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 82 TILTON ST
City SPRINGFIELD
State MA
Zip Code 01109-2332

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1235630856 Kathryn O'brien Student in an Organized Health Care Education/Training Program 11 Wilbraham Rd, Springfield, MA 01109 2018-02-28
1174074736 Candace Griffith Counselor 140 High St., Suite 230, Springfield, MA 01109 2016-10-19
1356730279 Pedro Ferrer Counselor 332 Birnie Ave, Springfield, MA 01109 2015-01-15
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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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1437765161 Sarissa Joy Adams Counselor 1915 E Nottingham St, Springfield, MO 65804-7733 2020-09-18
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1245865500 Annette Lynn Brandenburg Counselor 1736 E Sunshine St Ste 811, Springfield, MO 65804-1334 2020-03-06
1962045443 Emilie Noel Phillips Counselor 3826 E Lomita St, Springfield, MO 65809-3710 2019-10-28
1265082234 Sierra Jane Forney Counselor 98 Garnet St, Springfield, MA 01129-1908 2019-09-12
1700438678 Julie Ann Blythe Counselor 620 N Walnut St, Springfield, IL 62702-4930 2019-07-11
1255991063 Rebecca Ann Higgenbotham Counselor 4888 Leah Dr, Springfield, IL 62711-6353 2019-06-14
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Competitor

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City SPRINGFIELD
Zip Code 01109

Improve Information

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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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