| Catalyst For Change Psychiatric & Counseling Services | |
|
1814 Se Port St Lucie Blvd Port Saint Lucie FL 34952-5545 | |
| (772) 208-7834 | |
| (949) 577-4617 |
| Full Name | Catalyst For Change Psychiatric & Counseling Services |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1814 Se Port St Lucie Blvd, Port Saint Lucie, Florida |
| Authorized Official Name and Position | Chasity Shanell Chandler (OWNER) |
| Authorized Official Contact | 7722087834 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Catalyst For Change Psychiatric & Counseling Services 1814 Se Port St Lucie Blvd Port Saint Lucie FL 34952-5545 Ph: (772) 208-7834 | Catalyst For Change Psychiatric & Counseling Services 1814 Se Port St Lucie Blvd Port Saint Lucie FL 34952-5545 Ph: (772) 208-7834 |
| NPI Number | 1194335216 |
|---|---|
| Provider Enumeration Date | 08/04/2020 |
| Last Update Date | 08/04/2020 |
| Certification Date | 08/04/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194335216 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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