Chandler, L. Nichelle

Chandler, L. Nichelle is an sole proprietor health care provider with primary practice located at 3827 S Buckner Blvd , Dallas TX 75227-4312. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Chandler, L. Nichelle can be contacted via phone (214) 489-9300.

Contact Information

Primary practice address
3827 S Buckner Blvd Dallas TX 75227-4312
Phone: (214) 489-9300
Fax: (214) 489-9301
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 9854 Texas
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 19309 Texas
Behavioral Health & Social Service Providers / Professional 101YP2500X 19309 Texas

Profile Details

NPI number 1912064106
LBN Legal business name Chandler, L. Nichelle
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 3rd, 2007
Last updated Jan 16th, 2024 - about 11 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912064106 NPPES
Texas MEDICAID 188666501

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