Provider Demographics
NPI:1982879342
Name:ITALK INC.
Entity Type:Organization
Organization Name:ITALK INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:WIMBISH
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:828-329-5487
Mailing Address - Street 1:PO BOX 302
Mailing Address - Street 2:
Mailing Address - City:FLETCHER
Mailing Address - State:NC
Mailing Address - Zip Code:28732-0302
Mailing Address - Country:US
Mailing Address - Phone:828-329-5487
Mailing Address - Fax:828-676-6259
Practice Address - Street 1:43 FOXDEN DR. UNIT 201
Practice Address - Street 2:
Practice Address - City:FLETCHER
Practice Address - State:NC
Practice Address - Zip Code:28732-5640
Practice Address - Country:US
Practice Address - Phone:828-329-5487
Practice Address - Fax:828-676-6259
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-28
Last Update Date:2008-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1198106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty