Crockett, Chantel
Crockett, Chantel is an sole proprietor health care provider with primary practice located at 530 Lakeland Dr , Baton Rouge LA 70802-4441. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Social Worker, Agencies / Case Management, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Crockett, Chantel can be contacted via phone (225) 465-3080.Contact Information
Primary practice address
530 Lakeland Dr
Baton Rouge LA 70802-4441
Phone: (225) 465-3080
Fax: (225) 465-3706
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | CIT5072 | Louisiana |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 15883 | Louisiana |
| Agencies / Case Management | 251B00000X | ||
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1114431863 |
|---|---|
| LBN Legal business name | Crockett, Chantel |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 16th, 2017 |
| Last updated | Mar 17th, 2021 - about 3 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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