Fowlkes, Chasity Shanell
Fowlkes, Chasity Shanell is an sole proprietor health care provider with primary practice located at 2814 S Us Highway 1 Suite D4, Fort Pierce FL 34982-8120. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Fowlkes, Chasity Shanell can be contacted via phone (863) 669-8910.Contact Information
Primary practice address
2814 S Us Highway 1 Suite D4
Fort Pierce FL 34982-8120
Phone: (863) 669-8910
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Counselor | 101Y00000X | ||
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MH12547 | Florida |
Profile Details
NPI number | 1992050728 |
---|---|
LBN Legal business name | Fowlkes, Chasity Shanell |
Credentials | LMHC, CAP |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 18th, 2012 |
Last updated | Jun 8th, 2023 - about 2 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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