Dotson-Blake, Kylie Phares

Dotson-Blake, Kylie Phares is an individual health care provider with primary practice located at East Fifth Street 223A Ragsdale East Carolina University/Coad Dept, Greenville NC 27858-4353. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Dotson-Blake, Kylie Phares can be contacted via phone (252) 328-5277.

Contact Information

Primary practice address
East Fifth Street 223A Ragsdale East Carolina University/Coad Dept Greenville NC 27858-4353
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 4986 North Carolina
Behavioral Health & Social Service Providers / School 101YS0200X North Carolina

Profile Details

NPI number 1336375062
LBN Legal business name Dotson-Blake, Kylie Phares
Credentials PHD, LPC, NCC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2009
Last updated Jun 9th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers