Chaney, Marquesha Lachelle

Chaney, Marquesha Lachelle is an individual health care provider with primary practice located at 3407 Shamrock Ct , Gautier MS 39553-6429. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Chaney, Marquesha Lachelle can be contacted via phone (228) 497-0690.

Contact Information

Primary practice address
3407 Shamrock Ct Gautier MS 39553-6429
Phone: (228) 497-0690
Fax: (228) 497-1363
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1215216023
LBN Legal business name Chaney, Marquesha Lachelle
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2011
Last updated Apr 20th, 2020 - about 4 years 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 1215216023 NPPES
Mississippi MEDICAID 00018214

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