Provider Demographics
NPI:1447732789
Name:SALMOND, KYLA (LMHC)
Entity type:Individual
Prefix:
First Name:KYLA
Middle Name:
Last Name:SALMOND
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:609 CEDAR BOUGH CT
Mailing Address - Street 2:
Mailing Address - City:ST AUGUSTINE
Mailing Address - State:FL
Mailing Address - Zip Code:32080-6580
Mailing Address - Country:US
Mailing Address - Phone:386-227-7874
Mailing Address - Fax:
Practice Address - Street 1:6277 A1A S STE 202
Practice Address - Street 2:
Practice Address - City:ST AUGUSTINE
Practice Address - State:FL
Practice Address - Zip Code:32080-7515
Practice Address - Country:US
Practice Address - Phone:386-227-7874
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-04
Last Update Date:2024-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health