Organization
CATALYST FOR CHANGE PSYCHIATRIC & COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHASITY SHANELL CHANDLER LMHC (OWNER)
(772) 208-7834
Entity
Organization
Contact information
Practice address
1814 SE PORT ST LUCIE BLVD, PORT SAINT LUCIE, FL 34952-5545
(772) 208-7834
(949) 577-4617
Mailing address
1814 SE PORT ST LUCIE BLVD, PORT SAINT LUCIE, FL 34952-5545
(772) 208-7834
(949) 577-4617
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/04/2020
Last updated
08/04/2020
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