Doctor Name: | CHASITY SHANELL CHANDLER |
NPI Number: | 1992050728 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC, CAP |
License Number: | |
Business Practice Address: | 2814 S Us Highway 1 Suite D4 Fort Pierce, FL - 349828120 |
Business Phone Number: | 8636698910 |
Business Fax Number: | |
Mailing Address: | 2814 S Us Highway 1, Suite D4 FORT PIERCE |
State: | FL |
Postal Code: | 349828120 |
Phone Number: | 8636698910 |
Fax Number: | |
NPI Enumeration Date: | 07/18/2012 |
NPI Last Update Date: | 09/25/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |