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MIKEAL FANNIN
NPI 1295347219
Counselor - Addiction (Substance Use Disorder) in Prestonsburg, KY

Active since August 20, 2020
104 S FRONT AVE, PRESTONSBURG, KY 41653(606) 886-8572(606) 886-4433 Get Directions Write a Review

NPPES record last updated: August 20, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mikeal Fannin NPPES

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

MIKEAL FANNIN (NPI 1295347219) is an individual addiction (substance use disorder) provider in Prestonsburg, Kentucky and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1295347219
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMIKEAL FANNIN
Location Address104 S FRONT AVEPrestonsburg, KY 41653-1614
Mailing Address104 S Front AvePrestonsburg, KY 41653-1614 · (606) 886-8572 · Fax (606) 886-4433
Phone(606) 886-8572
Fax(606) 886-4433
Sole ProprietorYes
Enumeration DateAugust 20, 2020
NPPES CertifiedAugust 20, 2020
✔ NPI 1295347219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
104 S FRONT AVE, Prestonsburg, KY 41653
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Other Providers at the Same Location NPPES 20

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

PETER SMITHWICK OLIVER MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
104 S FRONT AVE
PRESTONSBURG, KY 41653
Floyd County (606) 886-8572
PHILLIP CAUDILL
Counselor (Mental Health)
104 S FRONT AVE
PRESTONSBURG, KY 41653
Floyd County (606) 886-8572
RACHAEL WILLOUGHBY
Counselor (Mental Health)
104 S FRONT AVE
PRESTONSBURG, KY 41653
Floyd County (606) 886-8572
BRITTANY SANDERS
Counselor (Mental Health)
104 S FRONT AVE
PRESTONSBURG, KY 41653
Floyd County (606) 886-8572
DONNA CRIDER
Counselor (Mental Health)
104 S FRONT AVE
PRESTONSBURG, KY 41653
Floyd County (606) 886-8572
ANDREA HURLEY
Community Health Worker
104 S FRONT AVE
PRESTONSBURG, KY 41653
Floyd County (606) 886-8572
AMY KNOTT
Community Health Worker
104 S FRONT AVE
PRESTONSBURG, KY 41653
Floyd County (606) 886-8572
CHELSEA GOBLE
Counselor (Mental Health)
104 S FRONT AVE
PRESTONSBURG, KY 41653
Floyd County (606) 886-8572

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 Mikeal Fannin's NPI number?

The NPI number for Mikeal Fannin is 1295347219. It was assigned to this individual provider in the NPPES registry on August 20, 2020.

Where is Mikeal Fannin located?

Mikeal Fannin practices at 104 S Front Ave, Prestonsburg, KY 41653. The listed phone number is (606) 886-8572.

What is Mikeal Fannin's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Mikeal Fannin was last updated on August 20, 2020. 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.