Charisma Lamanda Kyles, LADC is a
Counselor - Addiction (substance Use Disorder) based in South Saint Paul, Minnesota. Charisma Lamanda Kyles is licensed to practice in Minnesota (license number 306769) and her current practice location is
633 Concord St N, South Saint Paul, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(763) 600-1476.
NPI number for Charisma Lamanda Kyles is 1811778186 and her current mailing address is 633 Concord St N, South Saint Paul, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1811778186.
Healthcare Provider's Profile
Full Name | Charisma Lamanda Kyles |
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Gender | Female |
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Speciality | Counselor - Addiction (substance Use Disorder) |
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Location | 633 Concord St N, South Saint Paul, Minnesota |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1811778186
- Provider Enumeration Date: 10/11/2023
- Last Update Date: 10/11/2023
Medical Identifiers
Medical identifiers for Charisma Lamanda Kyles such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811778186 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 306769 (Minnesota) | 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. Charisma Lamanda Kyles 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 |
Charisma Lamanda Kyles, LADC 633 Concord St N, South Saint Paul, MN 55075-1114 Ph: (763) 600-1476 | Charisma Lamanda Kyles, LADC 633 Concord St N, South Saint Paul, MN 55075-1114 Ph: (763) 600-1476 |
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