Provider Demographics
NPI:1952915852
Name:FLEMING, MARIAH KAYE (MA)
Entity Type:Individual
Prefix:
First Name:MARIAH
Middle Name:KAYE
Last Name:FLEMING
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6883 MILLARD HWY STE 2
Mailing Address - Street 2:
Mailing Address - City:PIKEVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41501-7945
Mailing Address - Country:US
Mailing Address - Phone:606-200-3450
Mailing Address - Fax:606-766-0400
Practice Address - Street 1:6883 MILLARD HWY STE 2
Practice Address - Street 2:
Practice Address - City:PIKEVILLE
Practice Address - State:KY
Practice Address - Zip Code:41501-7945
Practice Address - Country:US
Practice Address - Phone:606-200-3450
Practice Address - Fax:606-766-0400
Is Sole Proprietor?:No
Enumeration Date:2020-09-08
Last Update Date:2020-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health