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Provider Information for 1538763065


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KAYLA MARIE ERNST LPC, NCC, MS


Sex: Female

NPI: 1538763065
Last Updated: 2023-08-23
Certification Date: 2023-08-23

Details

NameValue
NPI1538763065
Enumeration Date2020-11-25
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 825 LOWCOUNTRY BLVD
MOUNT PLEASANT, SC 29464-3063
United States

Phone: 843-867-4567 | Fax:
 
Primary Practice Address 825 LOWCOUNTRY BLVD
MOUNT PLEASANT, SC 29464-3063
United States

Phone: 843-867-4567 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YM0800X - Counselor - Mental HealthSC8409