Individual provider · Type 1 NPI

Kylie Champa

Mental Health Counselor · Fernandina Beach, FL

NPI number 1952912834 Active

Practice location

1896 S 14th St
Fernandina Beach, FL 32034-1999

Call (904) 310-9652 Map

Mailing address

96051 Bass Ln
Yulee, FL 32097-6593

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH27357 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1952912834

Kylie Champa's National Provider Identifier is 1952912834, issued on Aug 13, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fernandina Beach, FL. The record was last updated on Mar 10, 2026.