Chelsea Bates

Individual provider Active NPI Mental Health Counselor · Antioch, TN

NPI 1104609684 · NPPES record last updated Aug 17, 2023

Key facts

NPI
1104609684
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
5050 Blue Hole Rd
Antioch, TN 37013-3710
Phone
(615) 988-0353
NPI assigned
Aug 17, 2023
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

5050 Blue Hole Rd
Antioch, TN 37013-3710

Mailing address

7221 Wild Apple CT
Antioch, TN 37013-4898

Other providers in Antioch, TN

All providers in Antioch, TN · Mental Health Counselor in Tennessee

Sources for this page

Verify at the official NPI Registry.