Cynthia Lee Chausse – Mental Health Counselor

Key facts

NPI: 1265818769
Entity type: Individual (NPI type 1)
Primary specialty: Mental Health Counselor 101YM0800X
License: MH3566 (FL)
Practice address: 106 N Main St
Galax, VA 24333-2978
Phone: (941) 815-0950
NPI assigned: Aug 6, 2015
Sex: Female
Sole proprietor: Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Soul Care Solution LLC Mental Health Counselor · Port Charlotte, FL · NPI 1457865586

NPD MENTAL HEALTH

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
070100785	VA	MD	Mental Health Counselor
MH3566	FL	MD	Professional Counselor

Practice roles

Organization	Specialty	Status	New patients
Soul Care Solution LLC	Mental Health	Current	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Mental Health Counselor	101YM0800X	070100785	VA
Professional Counselor	101YP2500X	070100785	VA
Professional Counselor	101YP2500X	MH3566	FL
School Counselor	101YS0200X		FL
Mental Health Counselor	101YM0800X	MH3566	FL	Yes

Addresses

Primary practice location

106 N Main St
Galax, VA 24333-2978

Mailing address

22 Gilmer LN
Soul Care Solution
Galax, VA 24333-5173
Phone (941) 815-0950

Other practice location 1

22 Gilmer Ln
Soul Care Solution
Galax, VA 24333-5173
Phone (941) 815-0950

Other identifiers

Identifier	Type	State	Issuer
070100785	Other	VA	LPC
MH3566	Other	FL	MENTAL HEALTH LICENSE

Other names

Cynthia Lee Nist Former name

Other providers in Galax, VA

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Deana Carrico Case, M.S.CCC/SLP
Lee Chaffee, P.T.
Rebecca Lynn Chapman, LPC
James Allen Chappell, D.O.
Chestnut Creek Counseling Center
Chestnut Creek Orthopedics and Sports Medicine PLLC
Kenneth A Clark, MD
John Paul Clay, PA
Clearchoice DME LLC

All providers in Galax, VA · Mental Health Counselor in Virginia

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2022. 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.

Verify at the official NPI Registry.