Provider Demographics
NPI:1497881676
Name:ARFLIN, SHARON E (MFTA)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:E
Last Name:ARFLIN
Suffix:
Gender:F
Credentials:MFTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:663 N DIXIE BLVD STE D
Mailing Address - Street 2:
Mailing Address - City:RADCLIFF
Mailing Address - State:KY
Mailing Address - Zip Code:40160-1376
Mailing Address - Country:US
Mailing Address - Phone:270-351-4880
Mailing Address - Fax:270-351-4881
Practice Address - Street 1:663 N DIXIE BLVD
Practice Address - Street 2:SUITE D
Practice Address - City:RADCLIFF
Practice Address - State:KY
Practice Address - Zip Code:40160-1376
Practice Address - Country:US
Practice Address - Phone:270-351-4880
Practice Address - Fax:270-351-4881
Is Sole Proprietor?:No
Enumeration Date:2007-02-24
Last Update Date:2015-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY2014-016106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY30605018Medicaid