Peek-Fisk, Rolanda Sue

Peek-Fisk, Rolanda Sue is an individual health care provider with primary practice located at 229 W Walnut St , Mayfield KY 42066-2223. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Peek-Fisk, Rolanda Sue can be contacted via phone (270) 251-3666.

Contact Information

Primary practice address
229 W Walnut St Mayfield KY 42066-2223
Fax: (270) 251-3506
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 766 Kentucky
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LSW0000003337 Tennessee

Profile Details

NPI number 1669400065
LBN Legal business name Peek-Fisk, Rolanda Sue
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1669400065 NPPES
Kentucky MEDICAID 82000746

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