Ellen E Chesnut, RN LMFT INDIANA
Individual provider Active NPI Marriage & Family Therapist · Beaufort, SC
NPI 1043437270 · NPPES record last updated Mar 24, 2008
Key facts
- NPI
- 1043437270
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 35000689A (IN)
- Practice address
- 1050 Ribaut Rd
Coastal Empire Community Mental Health Center
Beaufort, SC 29902-5400 - Phone
- (843) 524-8899
- Fax
- (843) 524-8179
- NPI assigned
- Apr 19, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Certified Nurse Specialist, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35000689A | IN | MD | Marriage & Family Therapist |
| 28050102A | IN | MD | Psychiatric/Mental Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 35000689A | IN | Yes |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 28050102A | IN |
Addresses
Primary practice location
1050 Ribaut Rd
Coastal Empire Community Mental Health Center
Beaufort, SC 29902-5400
Mailing address
1050 Ribaut Rd
Coastal Empire Community Mental Health Center
Beaufort, SC 29902-5400
Phone (843) 524-8899
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 474537 | Other | IN | VALUE OPTIONS PIN |
Other providers in Beaufort, SC
- Charleston ENT Associates LLC
- Charleston Pathology PA
- Charleston Vamc
- Natasha Chavez
- Frances Pringle Cherry
- Christine T Chiaviello
- Celestin Chicos
- Braden Childers
- Shenika Chisolm
- Chris Mohler, DDS, LLC
All providers in Beaufort, SC · Marriage & Family Therapist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.