Individual provider · Type 1 NPI

Kenyatta Tyease Hatten, IMH, MS, CBHCM

Mental Health Counselor · Debary, FL

NPI number 1790607778 Active

Practice location

2808 Enterprise Rd Ste 105
Debary, FL 32713-2753

Call (850) 728-0300 Map

Mailing address

447 S Shelfer St
Quincy, FL 32351-3680

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XIMH285384 (FL)

Mental Health Counselor: Definition to come...

23 other providers at this address

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About NPI 1790607778

Kenyatta Tyease Hatten, IMH, MS, CBHCM's National Provider Identifier is 1790607778, issued on Jul 29, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Debary, FL. The record was last updated on Jul 29, 2026.