Healthcare Provider Details

I. General information

NPI: 1114593704
Provider Name (Legal Business Name): DARLA MICHELLE FEE TCADC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DARLA MICHELLE MELTON TCADC

II. Dates (important events)

Enumeration Date: 06/03/2021
Last Update Date: 02/02/2025
Certification Date: 02/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

233 PARKERS MILL WAY
SOMERSET KY
42503-4152
US

IV. Provider business mailing address

233 PARKERS MILL WAY
SOMERSET KY
42503
US

V. Phone/Fax

Practice location:
  • Phone: 859-339-0291
  • Fax:
Mailing address:
  • Phone: 859-339-0291
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code103TA0400X
TaxonomyAddiction (Substance Use Disorder) Psychologist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: