Healthcare Provider Details

I. General information

NPI: 1902550973
Provider Name (Legal Business Name): MARGIE FLETCHER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/09/2022
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 ARGILLITE RD STE A
FLATWOODS KY
41139-1132
US

IV. Provider business mailing address

1401 ARGILLITE RD STE A
FLATWOODS KY
41139-1132
US

V. Phone/Fax

Practice location:
  • Phone: 606-388-2203
  • Fax: 304-400-6620
Mailing address:
  • Phone: 606-388-2203
  • Fax: 304-400-6620

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number276716
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: