KAYLA FAZZARI LPC NPI 1891313656

NPI Information

NPI: 1891313656
Provider Name: KAYLA FAZZARI, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

PECOS Registration: Yes

Address:
1432 W FOREST HOME AVE # 400
MILWAUKEE, WI
ZIP 53204
Phone: (414) 567-5400
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Kayla Fazzari, LPC is a professional counselor in Milwaukee, WI. Kayla Fazzari, LPC NPI is 1891313656. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1432 W FOREST HOME AVE # 400
MILWAUKEE, WI
ZIP 53204-228
Phone: (414) 567-5400
Fax: (414) 567-5359

The NPI 1891313656 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 7/8/2020 and was last updated on 6/21/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	7720-125	WISCONSIN	Yes
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	18558-130	WISCONSIN	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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