| Doctor Name: | MRS. ELLEN E CHESNUT |
| NPI Number: | 1043437270 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN LMFT INDIANA |
| License Number: | 28050102A |
| Business Practice Address: | 1050 Ribaut Rd Coastal Empire Community Mental Health Center Beaufort, SC - 299025400 |
| Business Phone Number: | 8435248899 |
| Business Fax Number: | 8435248179 |
| Mailing Address: | 1050 Ribaut Rd, Coastal Empire Community Mental Health Center BEAUFORT |
| State: | SC |
| Postal Code: | 299025400 |
| Phone Number: | 8435248899 |
| Fax Number: | 8435248179 |
| NPI Enumeration Date: | 04/19/2007 |
| NPI Last Update Date: | 03/24/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0808X |
| License Number: | 28050102A |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IN |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |