Individual provider · Type 1 NPI
Kayli Olivia Humphreys, LCSW
Mental Health Counselor · Pea Ridge, AR
NPI number
1083265896
Active
Practice location
2413 Armstrong Ln
Pea Ridge, AR 72751-5013
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 12432-C (AR) |
| Clinical Social Worker | 1041C0700X | LCSW-45073 (ID) |
Mental Health Counselor: Definition to come...
About NPI 1083265896
Kayli Olivia Humphreys, LCSW's National Provider Identifier is 1083265896, issued on Sep 23, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Pea Ridge, AR. The record was last updated on Sep 10, 2026.