Kayla Lustosa

NPI 1720853377 · on the registry since 2023 · sole proprietor

Practice

Address: 2675 Mall Of Georgia Blvd Ste 102
Buford, GA 30519
Phone: (470) 201-5717
Organisation at this address: Victory Medical Services Llc
Nouveaux U Wellness Professional Corporation
Nouveaux U Behavioral Health Professional Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 101YM0800X
101YM0800X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2025-09-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia