| Doctor Name: | KAYLA AUTRY |
| NPI Number: | 1184088619 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 55475 |
| Business Practice Address: | 2915 S Burleson Blvd Burleson, TX - 760281878 |
| Business Phone Number: | 8174473001 |
| Business Fax Number: | |
| Mailing Address: | 621 W Main St, CROWLEY |
| State: | TX |
| Postal Code: | 760363023 |
| Phone Number: | 8066852997 |
| Fax Number: | |
| NPI Enumeration Date: | 04/11/2016 |
| NPI Last Update Date: | 05/16/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 55475 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |