Whitehead, Kaela Grace
Whitehead, Kaela Grace is an sole proprietor health care provider with primary practice located at 2498 N Stokesberry Pl , Meridian ID 83646-5150. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Whitehead, Kaela Grace can be contacted via phone (208) 957-9859.Contact Information
Primary practice address
2498 N Stokesberry Pl
Meridian ID 83646-5150
Phone: (208) 957-9859
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCSW38786 | Idaho |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LMSW36309 | Idaho |
Profile Details
| NPI number | 1174069744 |
|---|---|
| LBN Legal business name | Whitehead, Kaela Grace |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 6th, 2017 |
| Last updated | Jun 10th, 2026 - about 4 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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