Provider Demographics
NPI:1093062945
Name:ALLINE, KAIA (LPCC)
Entity type:Individual
Prefix:MS
First Name:KAIA
Middle Name:
Last Name:ALLINE
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:MS
Other - First Name:DELPHINE
Other - Middle Name:MARIE
Other - Last Name:HERMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:319 HOMETOWN WAY
Mailing Address - Street 2:
Mailing Address - City:SPRINGTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:76082-5615
Mailing Address - Country:US
Mailing Address - Phone:941-962-3306
Mailing Address - Fax:
Practice Address - Street 1:319 HOMETOWN WAY
Practice Address - Street 2:
Practice Address - City:SPRINGTOWN
Practice Address - State:TX
Practice Address - Zip Code:76082-5615
Practice Address - Country:US
Practice Address - Phone:941-962-3306
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-09
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMCCMH0197101101YM0800X
FLMH26218101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM74620380Medicaid