| Doctor Name: | MS. BARBARA L CHISM |
| NPI Number: | 1114065430 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMHC LMFT CAP |
| License Number: | CERTIFICATE 2609 |
| Business Practice Address: | 8383 Seminole Blvd 6 Seminole, FL - 33772 |
| Business Phone Number: | 7273938702 |
| Business Fax Number: | 7273948299 |
| Mailing Address: | 10650 Village Drive, A204 SEMINOLE |
| State: | FL |
| Postal Code: | 33772 |
| Phone Number: | 7273938702 |
| Fax Number: | 7273948299 |
| NPI Enumeration Date: | 02/01/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | CERTIFICATE 2609 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |