MRS. SANDY MARIE FAULK


Address: 4105 Kirkman St, Lake Charles, LA 70607-4603
Phone: 3374758022

MRS. SANDY MARIE FAULK (NPI# 1730420530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730420530
Entity Type Individual
Full Name MRS. SANDY MARIE FAULK
Other Name MRS. SANDY FAULK KIMBALL
Practice Address 4105 Kirkman St
Lake Charles
LA 70607-4603
Mailing Address 4105 Kirkman St
Lake Charles
LA 70607-0603
Practice Telephone 3374758022
Practice Fax Number 3374758054
Mailing Telephone 3374758022
Mailing Fax Number 3374758054
Enumeration Date 2013-03-05
Last Update Date 2013-03-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Office Location

Street Address 4105 KIRKMAN ST
City LAKE CHARLES
State LA
Zip Code 70607-4603

Providers in the same location

NPI Name Taxonomy Address Enumeration
1578517439 Craig D. Waggoner Psychologist 4105 Kirkman St, Lake Charles, LA 70607-4603 2006-05-22
1659988343 Katie Bruce Pharmacist 4105 Kirkman St, Lake Charles, LA 70607-4603 2020-09-26
1598245623 Imperial Calcasieu Human Services Authority Clinic/Center 4105 Kirkman St, Lake Charles, LA 70607-4603 2018-08-17
1730698838 Rebecca Becky Perry Social Worker 4105 Kirkman St, Lake Charles, LA 70607-4603 2017-09-21
1538566336 Troy Barrow Registered Nurse 4105 Kirkman St, Lake Charles, LA 70607-4603 2014-11-24
1992101240 Clint Dupre Licensed Practical Nurse 4105 Kirkman St, Lake Charles, LA 70607-4603 2014-11-14
1386057891 Vicki Ann Lebleu Nurse Practitioner 4105 Kirkman St, Lake Charles, LA 70607-4603 2014-06-03
1750792248 Genoa Healthcare, LLC Pharmacy 4105 Kirkman St, Lake Charles, LA 70607-4603 2014-05-19
1376971200 Lexi Berryhill Social Worker 4105 Kirkman St, Lake Charles, LA 70607-4603 2013-11-01
1700127487 Dana Young Counselor 4105 Kirkman St, Lake Charles, LA 70607-4603 2013-03-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710596283 Dakota Loosemore Student in an Organized Health Care Education/Training Program 800 East Mcneese Street, Lake Charles, LA 70607 2020-07-30
1467003822 Sarah Jane Walley Specialist/Technologist 800 E Mcneese Street, Lake Charles, LA 70607 2019-09-26
1770053902 Antonio Rivera Chiropractor 2625 Dillard Loop, Suite C, Lake Charles, LA 70607 2018-11-30
1851861330 Shannon Marie Melvin Specialist/Technologist 800 East Mcneese, Lake Charles, LA 70607 2018-11-28
1326517699 Vincent Michael Williams Specialist/Technologist 800 East Mcneese St, Lake Charles, LA 70607 2018-11-16
1396263356 Lake Area Physician Services LLC Durable Medical Equipment & Medical Supplies 10071 Hwy 385, Lake Charles, LA 70607 2017-08-30
1023556370 Heath Bryan Coleman, Dds of Louisiana II, A Professional Dental LLC Dentist 2625 Dillard Loop, Ste A, Lake Charles, LA 70607 2017-02-07
1750741880 Townsend Treatment Center, LLC Substance Abuse Rehabilitation Facility 635a Petro Point Dr, Lake Charles, LA 70607 2016-03-02
1194081414 Clint Nickolas Lincoln Family Medicine 10071 Gulf Hwy, Lake Charles, LA 70607 2012-04-11
1295976652 John Leroy Speer Dentist 3425 Louisiana Ave., Lake Charles, LA 70607 2009-03-16
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053943118 April Tanner Counselor 635 Petro Point Dr Ste A, Lake Charles, LA 70607-7066 2020-02-06
1871141986 Kiddos Therapy Konnection LLC Counselor 814 W Mcneese St # 241, Lake Charles, LA 70605-5426 2019-09-01
1861962722 Ellaweena Woods Counselor 1409 Kirkman St., Lake Charles, LA 70601 2018-12-04
1386153401 Erica Jenkins Counselor 5000 Lake Street #4955, Lake Charles, LA 70606 2017-09-20
1043749542 Briaunna Nicole Robinson Counselor 4510 Common St Apt 8, Lake Charles, LA 70607-5745 2017-06-08
1831628494 Lisa Moore Counselor 2714 Tupelo St, Lake Charles, LA 70601-7376 2017-06-07
1164950309 Kimberly J Evans Counselor 1409 Kirkman Street, Lake Charles, LA 70601-5344 2017-06-01
1417485855 Latoya Jack Counselor 4396 Gordon Woods Dr, Lake Charles, LA 70615-2997 2017-05-30
1346785367 Kingdom Expressions LLC Counselor 1639 Ryan St Ste B, Lake Charles, LA 70601-5948 2016-12-29
1508301037 Mental Connections of Southwest LLC Group Counselor 133 Jefferson Dr, Lake Charles, LA 70605-5713 2016-12-19
Find all providers in LAKE CHARLES

Competitor

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City LAKE CHARLES
Zip Code 70607

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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