Individual
CHARITY DANIELLE MATTINGLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2615 FLAHERTY RD, EKRON, KY 40117-8805
(844) 435-0900
(270) 858-4029
Mailing address
PO BOX 1080, BURKESVILLE, KY 42717-1080
(270) 858-6655
(270) 858-4027
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
Primary
259811
KY
Other
Enumeration date
11/14/2017
Last updated
02/24/2026
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