Healthcare Provider Details

I. General information

NPI: 1780172924
Provider Name (Legal Business Name): LINDA LENEA CHAPLIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2018
Last Update Date: 05/02/2025
Certification Date: 05/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3540 S HIGHWAY 27 STE 3
SOMERSET KY
42501-3124
US

IV. Provider business mailing address

3540 S HIGHWAY 27 STE 3
SOMERSET KY
42501-3124
US

V. Phone/Fax

Practice location:
  • Phone: 606-679-1815
  • Fax: 606-451-1631
Mailing address:
  • Phone: 606-679-1815
  • Fax: 606-451-1631

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number297085
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: