Provider Demographics
NPI:1457169427
Name:ANGELIQUE FOYE-FLETCHER, LLC
Entity type:Organization
Organization Name:ANGELIQUE FOYE-FLETCHER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANGELIQUE
Authorized Official - Middle Name:
Authorized Official - Last Name:FOYE-FLETCHER
Authorized Official - Suffix:
Authorized Official - Credentials:LCMFT, LMFT, RPT
Authorized Official - Phone:785-375-1057
Mailing Address - Street 1:509 NE COUNTRY CLUB DR
Mailing Address - Street 2:
Mailing Address - City:BLUE SPRINGS
Mailing Address - State:MO
Mailing Address - Zip Code:64014-2005
Mailing Address - Country:US
Mailing Address - Phone:785-375-1057
Mailing Address - Fax:
Practice Address - Street 1:509 NE COUNTRY CLUB DR
Practice Address - Street 2:
Practice Address - City:BLUE SPRINGS
Practice Address - State:MO
Practice Address - Zip Code:64014-2005
Practice Address - Country:US
Practice Address - Phone:785-375-1057
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-23
Last Update Date:2024-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty