Chellette, Heather Graham

Chellette, Heather Graham is an sole proprietor health care provider with primary practice located at 829 E Georgia Ave Ste 3 , Ruston LA 71270-3901. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, 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. Chellette, Heather Graham can be contacted via phone (318) 242-0730.

Contact Information

Primary practice address
829 E Georgia Ave Ste 3 Ruston LA 71270-3901
Phone: (318) 242-0730
Fax: (318) 242-0750
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Case Manager/Care Coordinator 171M00000X 4086 Louisiana
Behavioral Health & Social Service Providers / Professional 101YP2500X 4086 Louisiana

Profile Details

NPI number 1235326133
LBN Legal business name Chellette, Heather Graham
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 2007
Last updated Nov 21st, 2023 - about last year

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 1235326133 NPPES
Louisiana MEDICAID 1235326133

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