Kayla Elliott
Clinic/Center, Mental Health (Including Community Mental Health Center) in Portsmouth, OH. Individual provider (NPI-1).
NPI number1811613698
StatusActive
Last updated in NPPESOct 20, 2022
Details
- NPI
- 1811613698
- Entity type
- Individual (NPI-1)
- Name
- Kayla Elliott
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 13, 2022
- Certification date
- Oct 20, 2022
- Last updated
- Oct 20, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | QMHS | OH | Yes |
| 101YM0800X | Counselor, Mental Health | QMHS | OH | |
| 171M00000X | Case Manager/Care Coordinator | 2022 | OH |
Practice location
411 Court StPortsmouth, OH 45662-3932
Phone 740-354-6685
Mailing address
411 Court StPortsmouth, OH 45662-3932
Phone 740-354-6685
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All 15 Mental Health Clinic/Center (Including Community Mental Health Center) providers in Portsmouth · All 2,355 providers in Portsmouth
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