Provider Demographics
NPI:1609753649
Name:CORREIA, MAKAYLA DANIELLE (MFT STUDENT)
Entity type:Individual
Prefix:
First Name:MAKAYLA
Middle Name:DANIELLE
Last Name:CORREIA
Suffix:
Gender:F
Credentials:MFT STUDENT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:512 N COURT ST
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93291-4913
Mailing Address - Country:US
Mailing Address - Phone:559-754-3011
Mailing Address - Fax:
Practice Address - Street 1:512 N COURT ST
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93291-4913
Practice Address - Country:US
Practice Address - Phone:559-754-3011
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-20
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty