Individual provider · Type 1 NPI
Kyla Blackenberry
Counselor · Groveport, OH
NPI number
1639017577
Active
Practice location
3868 Eastrise Dr
Groveport, OH 43125-9046
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None listed |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Another provider at this address
Other counselor providers in Groveport
About NPI 1639017577
Kyla Blackenberry's National Provider Identifier is 1639017577, issued on Mar 23, 2026. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Groveport, OH. The record was last updated on Mar 23, 2026.