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KETHLIE FABIEN CHARLES
NPI 1265018865
Clinic/Center - Developmental Disabilities in Greenacres, FL

Active since March 23, 2021
5700 LAKE WORTH RD STE 106, GREENACRES, FL 33463(561) 439-3991(561) 439-3993 Get Directions Write a Review

NPPES record last updated: March 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kethlie Fabien Charles NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KETHLIE FABIEN CHARLES (NPI 1265018865) is an individual developmental disabilities provider in Greenacres, Florida and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1265018865
Entity TypeIndividualFemale
Primary Taxonomy261QD1600X
Provider Legal NameKETHLIE FABIEN CHARLES
Location Address5700 LAKE WORTH RD STE 106Greenacres, FL 33463-3213
Mailing Address5700 Lake Worth Rd Ste 106Greenacres, FL 33463-3213 · (561) 439-3991 · Fax (561) 439-3993
Phone(561) 439-3991
Fax(561) 439-3993
Sole ProprietorYes
Enumeration DateMarch 23, 2021
NPPES CertifiedMarch 23, 2021
✔ NPI 1265018865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Developmental DisabilitiesAmbulatory Health Care Facilities
Taxonomy Code261QD1600X
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
5700 LAKE WORTH RD STE 106, Greenacres, FL 33463
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TAMIKA RAWLEIGH MA
Counselor (Mental Health)
5700 LAKE WORTH RD STE 106
GREENACRES, FL 33463
Palm Beach County (561) 727-8635
KETELIE DESRUISSEAUX
Clinic/Center (Developmental Disabilities)
5700 LAKE WORTH RD STE 106
GREENACRES, FL 33463
Palm Beach County (561) 439-3991
RANDOLPH BEHAVIORAL HEALTH SERVICES, INC.
Community/Behavioral Health
5700 LAKE WORTH RD STE 106
GREENACRES, FL 33463
Palm Beach County (561) 727-8635
II RED MEDICAL GROUP, LLC
Durable Medical Equipment & Medical Supplies
5700 LAKE WORTH RD STE 106
GREENACRES, FL 33463
Palm Beach County (728) 213-2065

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kethlie Fabien Charles's NPI number?

The NPI number for Kethlie Fabien Charles is 1265018865. It was assigned to this individual provider in the NPPES registry on March 23, 2021.

Where is Kethlie Fabien Charles located?

Kethlie Fabien Charles practices at 5700 Lake Worth Rd Ste 106, Greenacres, FL 33463. The listed phone number is (561) 439-3991.

What is Kethlie Fabien Charles's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

When was this NPI record last updated?

The NPPES record for Kethlie Fabien Charles was last updated on March 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.