Provider Demographics
NPI:1053780932
Name:BREHM, KAYLA JEAN (LCSW, LCAS)
Entity type:Individual
Prefix:
First Name:KAYLA
Middle Name:JEAN
Last Name:BREHM
Suffix:
Gender:F
Credentials:LCSW, LCAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1213 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WINDBER
Mailing Address - State:PA
Mailing Address - Zip Code:15963-2359
Mailing Address - Country:US
Mailing Address - Phone:814-242-3013
Mailing Address - Fax:
Practice Address - Street 1:1213 MAIN ST
Practice Address - Street 2:
Practice Address - City:WINDBER
Practice Address - State:PA
Practice Address - Zip Code:15963-2359
Practice Address - Country:US
Practice Address - Phone:814-242-3013
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-21
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLCAS-21671101YA0400X
PA18363101YA0400X
NCC0111081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)