Kayla Lynn Bourbon, LMFT is a
Marriage & Family Therapist based in Coventry, Rhode Island. Kayla Lynn Bourbon is licensed to practice in * (Not Available) (license number ) and her current practice location is
1060 Tiogue Ave Unit 2, Coventry, Rhode Island. She can be reached at her office (for appointments etc.) via phone at
(401) 293-8023.
NPI number for Kayla Lynn Bourbon is 1659954766 and her current mailing address is 1060 Tiogue Ave Unit 2, Coventry, Rhode Island. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1659954766.
Healthcare Provider's Profile
| Full Name | Kayla Lynn Bourbon |
|---|
| Gender | Female |
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| Speciality | Marriage & Family Therapist |
|---|
| Location | 1060 Tiogue Ave Unit 2, Coventry, Rhode Island |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1659954766
- Provider Enumeration Date: 05/05/2021
- Last Update Date: 04/07/2026
Medical Identifiers
Medical identifiers for Kayla Lynn Bourbon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1659954766 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kayla Lynn Bourbon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Kayla Lynn Bourbon, LMFT 1060 Tiogue Ave Unit 2, Coventry, RI 02816-6114 Ph: (401) 293-8023 | Kayla Lynn Bourbon, LMFT 1060 Tiogue Ave Unit 2, Coventry, RI 02816-6114 Ph: (401) 293-8023 |
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