Chetsey Hamilton

Individual provider Active NPI Case Manager/Care Coordinator · Farmerville, LA

NPI 1508313370 · NPPES record last updated Jun 8, 2018

Key facts

NPI
1508313370
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
102 W Bayou St
Farmerville, LA 71241
Phone
(318) 368-2300
NPI assigned
Sep 8, 2016
Sex
Female
Sole proprietor
Yes

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
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

102 W Bayou St
Farmerville, LA 71241

Mailing address

102B W Bayou St
Farmerville, LA 71241-2802
Phone (318) 368-2300

Other practice location 1

712 First St
Delhi, LA 71232-2421
Phone (318) 878-6699

Other providers in Farmerville, LA

All providers in Farmerville, LA · Case Manager/Care Coordinator in Louisiana

Sources for this page

Verify at the official NPI Registry.