Provider Demographics
NPI:1356164602
Name:MCNEILL, KAYLI (LMHC)
Entity type:Individual
Prefix:
First Name:KAYLI
Middle Name:
Last Name:MCNEILL
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:KAYLI
Other - Middle Name:
Other - Last Name:SEAGRAVES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:164 N WASHINGTON ST UNIT 2
Mailing Address - Street 2:
Mailing Address - City:NORTH ATTLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02760-1732
Mailing Address - Country:US
Mailing Address - Phone:770-769-0499
Mailing Address - Fax:
Practice Address - Street 1:14 ASYLUM ST
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:MA
Practice Address - Zip Code:01757-2203
Practice Address - Country:US
Practice Address - Phone:617-564-2145
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-05
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALMHC10002652101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health