CANDIDA PHELPS NPI 1093245201

NPI Information

  • NPI: 1093245201
  • Provider Name: CANDIDA PHELPS
  • Classification: Counselor - 101Y00000X
  • Entity Type: Individual
  • Address: 200 CLINIC DR
    MADISONVILLE, KY
    ZIP 42431
  • Phone: (270) 821-8874

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NPI Details

Candida Phelps is a counselor in Madisonville, KY. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Candida Phelps NPI is 1093245201. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

200 CLINIC DR
MADISONVILLE, KY
ZIP 42431-661
Phone: (270) 821-8874
Fax: (270) 821-8883

The enumeration date for this NPI number is 6/20/2017 and was last updated on 6/20/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselorYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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