Doctor Name: | TY KAYS |
NPI Number: | 1043450539 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC |
License Number: | 0701004355 |
Business Practice Address: | 119 West Ave Kannapolis, NC - 280814332 |
Business Phone Number: | 7579430694 |
Business Fax Number: | 8668285520 |
Mailing Address: | 119 West Ave, KANNAPOLIS |
State: | NC |
Postal Code: | 280814332 |
Phone Number: | 7579430694 |
Fax Number: | 8668285520 |
NPI Enumeration Date: | 02/24/2009 |
NPI Last Update Date: | 06/10/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 0701004355 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |