Individual provider · Type 1 NPI

Kayla Lustosa

Mental Health Counselor · Buford, GA

NPI number 1720853377 Active

Practice location

2675 Mall Of Georgia Blvd Ste 102
Buford, GA 30519-8783

Call (470) 201-5717 Map

Mailing address

145 Pr Smith Blvd
Winder, GA 30680-8023

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLPC015492 (GA)

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About NPI 1720853377

Kayla Lustosa's National Provider Identifier is 1720853377, issued on Nov 22, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Buford, GA. The record was last updated on Sep 4, 2025.