Fowlkes, Talitha Anderson

Fowlkes, Talitha Anderson is an individual health care provider with primary practice located at 222 S 3Rd St , Danville KY 40422-1824. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Fowlkes, Talitha Anderson can be contacted via phone (859) 239-5870.

Contact Information

Primary practice address
222 S 3Rd St Danville KY 40422-1824
Fax: (859) 239-5879
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 3811 Kentucky
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904006896 Virginia

Profile Details

NPI number 1316377468
LBN Legal business name Fowlkes, Talitha Anderson
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 26th, 2013
Last updated Dec 2nd, 2013 - about 11 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.

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