Most Relevant Information
Provider Data
| NPI Number: | 1003684531 |
| Provider Name: | KAYLA HARRIS |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/14/2023 |
| Last Updated: | 12/14/2023 |
Provider Practice Location
2434 S EASON BLVD
TUPELO
MS
388046942
Practice Location Phone/Fax
| Phone: | 6628104125 |
| Fax: |
Provider Mailing Location
2434 S EASON BLVD
TUPELO
MS
388046942
Provider Mailing Phone/Fax
| Phone: | 6628104125 |
| Fax: |