Marshale Chism
Individual provider Active NPI Mental Health Counselor · Gloster, LA
NPI 1770035511 · NPPES record last updated Oct 27, 2016
Key facts
- NPI
- 1770035511
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 126 Sinclair LN
Gloster, LA 71030-3028 - Phone
- (318) 872-0262
- NPI assigned
- Oct 27, 2016
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
126 Sinclair LN
Gloster, LA 71030-3028
Mailing address
126 Sinclair LN
Gloster, LA 71030-3028
Other providers in Gloster, LA
- Ami Michelle Altom
- Virginia Fuller
- Dobrielle Gatlin
- Kristy Love Goodwin-Fuller
- Angie Hines
- Elizabeth Phillips
All providers in Gloster, LA · Mental Health Counselor in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2016. 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.